Rainwood Healing Space-LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RAINWOOD HEALING SPACE-LLC

Practice address

9910 N 48TH St Ste 111
Omaha, NE 68152-1548

Phone

(402) 813-8244

Fax

(844) 486-0274

NPI assigned

Dec 20, 2019

Organization subpart

Yes

Parent organization

RAINWOOD HEALING SPACE-LLCAs reported in NPPES

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

Authorized official

Name

Tonya M Goodwin-Daly, PLMHP, PLADCNPI 1437640760

Title

Owner, Dually Licensed Therapist

Phone

(402) 813-8244

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Rainwood Healing Space-LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rainwood Healing Space- LLC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1235776147
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonya M Goodwin-Daly, PLMHP, PLADC,

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1437640760

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1093353096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-813-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-813-8244",
            "fax_number": "844-486-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINWOOD HEALING SPACE-LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAINWOOD HEALING SPACE-LLC",
        "enumeration_date": "2019-12-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "GOODWIN-DALY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, DUALLY LICENSED THERAPIST",
        "authorized_official_telephone_number": "402-813-8244",
        "authorized_official_credential": "PLMHP, PLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026811800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denisha Rainer
• Davy V Rainey, MS, CCC-SLP
• Krystal Rainey
• Everett F Rains III
• Rainwood Healing Space- LLC
• Frederick C Raiser III, DO
• Nirmal Arogyaswami Raj, MD
• Ajay Karunakaran Rajan, MD
• Parwati Rajbanshi
• Halima Raji Shittu

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.