Rehabilitation Specialists Group, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-0543 Issued in AZ

Legal business name

REHABILITATION SPECIALISTS GROUP, INC.

Practice address

7992 W Thunderbird Rd Ste 111C
Peoria, AZ 85381-4905

Phone

(623) 889-7420

Fax

(623) 487-5458

NPI assigned

May 15, 2009

Last updated

May 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Anne Atha, M.S., C.V.E., L.P.C.

Title

Counselor

Phone

(623) 889-7420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1326273608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W DUNLAP AVE STE 265",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212742",
            "telephone_number": "623-889-7420",
            "fax_number": "623-487-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7992 W THUNDERBIRD RD STE 111C",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814905",
            "telephone_number": "623-889-7420",
            "fax_number": "623-487-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ATHA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "623-889-7420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., C.V.E., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-0543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.