Regain Life Balance LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REGAIN LIFE BALANCE LLC

Practice address

146 E Liberty St Ste 20
Wooster, OH 44691-4372

Phone

(330) 439-0034

NPI assigned

Jun 2, 2019

Last updated

Jun 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aliza Leslyn Vinson, LCSWNPI 1710167226

Title

Volunteer Provider

Phone

(808) 227-2449

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Aliza L Vinson, LCSW

  • Clinical Social Worker
  • Wooster, OH
  • NPI 1710167226
  Authorized official Same address or phone

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559433600000",
    "number": "1073171302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E LIBERTY ST STE 20",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914372",
            "telephone_number": "330-439-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E LIBERTY ST STE 20",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914372",
            "telephone_number": "330-439-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAIN LIFE BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "ALIZA",
        "authorized_official_middle_name": "LESLYN",
        "authorized_official_title_or_position": "VOLUNTEER PROVIDER",
        "authorized_official_telephone_number": "808-227-2449",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433475",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ameintel@regainlifebalance.com",
            "affiliation": "N",
            "endpointDescription": "secure server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "146 E Liberty St Ste 20",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446914372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Reed
• Linda Reed
• Tina Reed, MSW, LISW
• Bailee Reeves
• Melissa A Reeves, QMHS
• Kraig Patrick Reichley
• Diane Lee Reimer
• Maria Reis, DC
• Jason Wallace Reith, LPC
• Sara Reith, ED.S.

• Mental Health Counselor in Wooster, OH
• Providers in Wooster, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.