Resilience Is Mine Therapy & Consulting Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCE IS MINE THERAPY & CONSULTING SERVICES, LLC

Practice address

11630 Broad St SW
Pataskala, OH 43062-8195

Phone

(614) 329-6218

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra Juanita Martin-Weiler, PHD., LISW-SNPI 1730679556

Title

Mental Health Therapist

Phone

(614) 329-6218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Cassandra Juanita Martin-Weiler

  • Clinical Social Worker
  • Pataskala, OH
  • NPI 1730679556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1245053412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430040133",
            "telephone_number": "614-329-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 BROAD ST SW",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628195",
            "telephone_number": "614-329-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE IS MINE THERAPY & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN-WEILER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "614-329-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Pataskala, OH
• Providers in Pataskala, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.