Active NPI
Paul D Rhodea
- Marriage & Family Therapist
- Schererville, IN
National Provider Identifier
1316235609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35000979A
- Practice address
- 962 W US Highway 30
Unit 8
Schererville, IN 46375-1551 - Phone
- (219) 864-4363
- NPI assigned
- Jul 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33002251A | IN | |
| Marriage & Family Therapist | 106H00000X | 35000979A | IN | Primary |
Addresses
Primary practice location
962 W US Highway 30
Unit 8
Schererville, IN 46375-1551
Mailing address
15127 S 73Rd Ave
Suite G
Orland Park, IL 60462-4398
Phone (708) 845-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33002251A | IN | MD | Social Worker |
| 35000979A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1083664510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1316235609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15127 S 73RD AVE",
"address_2": "SUITE G",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624398",
"telephone_number": "708-845-5500",
"fax_number": "708-845-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 W US HIGHWAY 30",
"address_2": "UNIT 8",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751551",
"telephone_number": "219-864-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODEA",
"first_name": "PAUL",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33002251A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000979A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.