Recovery Edge Peer Support and Recovery Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

223720 Issued in PA

Legal business name

RECOVERY EDGE PEER SUPPORT AND RECOVERY SERVICES, INC.

Practice address

18 N 2ND St
First Floor
Pottsville, PA 17901-2903

Phone

(570) 516-9094

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Edward L Perhonitch Jr., CPS/FORENSIC SPECIAL

Title

Cheif Operating Officer

Phone

(570) 621-8533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1356611289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "FRIEDENSBURG",
            "state": "PA",
            "postal_code": "179330018",
            "telephone_number": "570-621-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N 2ND ST",
            "address_2": "FIRST FLOOR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012903",
            "telephone_number": "570-516-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY EDGE PEER SUPPORT AND RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "PERHONITCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "570-621-8533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPS/FORENSIC SPECIAL"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "223720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Marie Rakus, M.S., CF-SLP
• Caitlin Ralston, PA-C
• Gena Lee Rang, MS, OTR/L
• Gerald Alan Ravitz, M.D.
• Georgia Rayfield, BHT/RBT
• Redco Group, LLC
• Redco Group, LLC
• Redco Group, LLC
• John L Rehnert, LCSW
• Kelly Reno, LCSW

• Community/Behavioral Health Agency in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.