Organization Active NPI

Recovery-in-Motion, LLC

  • Mental Health Counselor
  • Port Orchard, WA
National Provider Identifier
1134740343
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECOVERY-IN-MOTION, LLC
Practice address
1700 SE Mile Hill Dr Ste 220
Port Orchard, WA 98366-3553
Phone
(360) 434-8369
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Michelle V Castro, MA, LMHC, SUDPNPI 1194122424
Title
Owner
Phone
(360) 434-8369

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1700 SE Mile Hill Dr Ste 220
Port Orchard, WA 98366-3553

Mailing address

2916 NW Bucklin Hill Rd # 110
Silverdale, WA 98383-8514
Phone (360) 434-8369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002838 WA Part B Supplier - Clinic/Group Practice 5890134043 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orchard, WA

National Provider Directory

National Provider Directory

Locations

1700 SE Mile Hill Dr
Ste 220
Port Orchard, WA 98366
Phone (360) 434-8369

729 Prospect St
Ste 201
Port Orchard, WA 98366
Phone (608) 572-5500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1134740343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD # 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "360-434-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE MILE HILL DR STE 220",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663553",
            "telephone_number": "360-434-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY-IN-MOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-434-8369",
        "authorized_official_credential": "MA, LMHC, SUDP"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.