Roa Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ROA WELLNESS LLC

Practice address

10452 Circulo de Villa
Fountain Valley, CA 92708-3671

Phone

(402) 250-8989

Fax

(714) 475-2746

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

James SewellNPI 1588099824

Title

RCM

Phone

(402) 250-8989

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• James D Sewell, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1588099824
  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1245065903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE A203",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265999",
            "telephone_number": "402-250-8989",
            "fax_number": "714-475-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 CIRCULO DE VILLA",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083671",
            "telephone_number": "402-250-8989",
            "fax_number": "714-475-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "402-250-8989"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yessenya Rivera, BA
• Rize Counseling, Inc.
• Maria Cristina Rizza, M.D.
• RK Medical
• Jihyun Ro
• Stephen Roach, BT
• Robert a Moss MD Facp Inc
• Robert a. Devereaux, M.D., Inc.
• Robert Belanger
• Robert Belanger,D.O.

• Substance Abuse Rehabilitation Facility in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.