Revelations Residential Treatment Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REVELATIONS RESIDENTIAL TREATMENT CENTER

Practice address

3718 Ridge Mill Dr
Hilliard, OH 43026-9231

Phone

(614) 401-7780

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Jaime Dionne Beard, LPNNPI 1811296387

Title

Owner

Phone

(614) 401-7319

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Jaime Dionne Beard, LPN

  • Licensed Practical Nurse
  • Columbus, OH
  • NPI 1811296387
  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1174232920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 OAKFIELD DR N",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291951",
            "telephone_number": "161-440-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269231",
            "telephone_number": "614-401-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATIONS RESIDENTIAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-401-7319",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Whatsapp",
            "affiliation": "N",
            "endpointDescription": "Whatsapp",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3718 Ridge Mill Dr",
            "city": "Hilliard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430269231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.