Organization Active NPI

Reenvision Counseling & Reiki Healing, LLC

  • Mental Health Counselor
  • Salisbury, MD
National Provider Identifier
1366932394
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REENVISION COUNSELING & REIKI HEALING, LLC
Practice address
313 W London Ave
Salisbury, MD 21801-3665
Phone
(410) 618-1990
Fax
(443) 433-0261
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Pam Lynn Fusco, LPC, LCADC
Title
Owner
Phone
(443) 254-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

313 W London Ave
Salisbury, MD 21801-3665

Mailing address

313 W London Ave
Salisbury, MD 21801-3665
Phone (410) 618-1990

Other identifiers 1

IdentifierTypeStateIssuer
541078900MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1366932394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W LONDON AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013665",
            "telephone_number": "410-618-1990",
            "fax_number": "443-433-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LONDON AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013665",
            "telephone_number": "410-618-1990",
            "fax_number": "443-433-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENVISION COUNSELING & REIKI HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-254-3334",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541078900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.