Reimagine Telehealth Counseling and Consulting Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REIMAGINE TELEHEALTH COUNSELING AND CONSULTING SERVICES

Doing business as

Reimagine Telehealth Counseling and Consulting Services

Practice address

2500 S Linden Rd
Flint, MI 48532-7074

Phone

(810) 655-3867

NPI assigned

Apr 2, 2022

Last updated

Apr 2, 2022By 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

Koaster Uvette Brim, MSW, LMSWNPI 1083080857

Title

Owner

Phone

(810) 655-3867

Specialties & licenses 1

Addresses

Other names 1

• REIMAGINE TELEHEALTH COUNSELING AND CONSULTING SERVICES Doing business as

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.

• Koaster Brim, MSW,LMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1083080857
  NPD Authorized official

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1073254389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S. LINDEN RD",
            "address_2": "P.O.BOX 320115",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485329998",
            "telephone_number": "810-655-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485327074",
            "telephone_number": "810-655-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMAGINE TELEHEALTH COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "BRIM",
        "authorized_official_first_name": "KOASTER",
        "authorized_official_middle_name": "UVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-655-3867",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REIMAGINE TELEHEALTH COUNSELING AND CONSULTING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josh Reichenbach
• Scarlett Reid
• Jori A Reigle
• Rachel Reilly, BA, QMHP, QIDP
• Reimage Collective LLC
• Elena May Reimer, LLMSW
• Shawn Leslie Reiser, D.P.M.
• Jason Lamar Relerford
• Michael Relf, CPRC
• Reliable Source Staffing Agency

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.