Organization Active NPI

Lindsey Rainbow Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Rocky River, OH
National Provider Identifier
1063194637
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LINDSEY RAINBOW COUNSELING CENTER
Practice address
19530 Telbir Ave
Rocky River, OH 44116-2622
Phone
(216) 299-1305
NPI assigned
Aug 3, 2023
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaquita Dorman, MSW,LCSWNPI 1811493117
Title
Owner
Phone
(216) 299-1305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

19530 Telbir Ave
Rocky River, OH 44116-2622

Mailing address

19530 Telbir Ave
Rocky River, OH 44116-2622
Phone (216) 299-1305

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1063194637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19530 TELBIR AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162622",
            "telephone_number": "216-299-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 TELBIR AVE",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162622",
            "telephone_number": "216-299-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY RAINBOW COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "JAQUITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-299-1305",
        "authorized_official_credential": "MSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.