Individual provider Active NPI

Elizabeth Reihm, MA

  • Professional Counselor
  • Jacobus, PA
National Provider Identifier
1316793094
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017288 Issued in PA
Practice address
201 Ameda Dr
Jacobus, PA 17407-1101
Phone
(717) 805-2242
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X PC017288 PA Primary

Addresses

Primary practice location

201 Ameda Dr
Jacobus, PA 17407-1101

Mailing address

201 Ameda Dr
Jacobus, PA 17407-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002556 MN Practitioner - Mental Health Counselor 1951838143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rejuv Medical PAGroup PAC ID 2264598077, 15 clinicians

Practice addresses (Care Compare)

901 3Rd St N
Waite Park, MN 56387-1964
Phone (320) 217-8480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC017288PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuv Medical, P.a. CurrentSince Oct 24, 2024 Accepting new patients
Rejuv Savage Management CurrentSince Sep 2, 2025 Accepting new patients

Locations

7373 France Ave S
Ste 606
Minneapolis, MN 55435
Phone (612) 207-7463

901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.reihm.1@32275.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1316793094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMEDA DR",
            "city": "JACOBUS",
            "state": "PA",
            "postal_code": "174071101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AMEDA DR",
            "city": "JACOBUS",
            "state": "PA",
            "postal_code": "174071101",
            "telephone_number": "717-805-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIHM",
        "first_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacobus, PA

Sources for this page

Verify at the official NPI Registry.