Organization Active NPI

Rejuvenate You Counseling, LLC

  • Mental Health Counselor
  • Austintown, OH
National Provider Identifier
1144825654
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REJUVENATE YOU COUNSELING, LLC
Practice address
25 N Canfield Niles Rd Ste 80
Austintown, OH 44515-2308
Phone
(307) 799-1580
Fax
(330) 953-2282
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Authorized official

Name
Miss Jacqueline Elaine Glaros, LPCC-SNPI 1225261118
Title
Owner/Ceo/Psychotherapist
Phone
(330) 779-1580

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

25 N Canfield Niles Rd Ste 80
Austintown, OH 44515-2308

Mailing address

25 N Canfield Niles Rd Ste 80
Austintown, OH 44515-2308
Phone (330) 779-1580

National Provider Directory

National Provider Directory
Tax ID family
Rejuvenate You Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 N Canfield Niles Rd
Ste 80
Austintown, OH 44515
Phone (307) 799-1580

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1144825654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 80",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "330-779-1580",
            "fax_number": "330-953-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD STE 80",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152308",
            "telephone_number": "307-799-1580",
            "fax_number": "330-953-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE YOU COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "GLAROS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "330-779-1580",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.