Redco Group, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

203110 Issued in PA

Legal business name

REDCO GROUP, LLC

Practice address

16 South Centre Street
Pottsville, PA 17901

Phone

(570) 628-5234

Fax

(570) 628-9051

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Cassi Group

Title

Coo

Phone

(412) 496-4374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clarvida Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Redco Group, LLC

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
  • NPI 1013132190

  O20031201000295

  Same enrollment
• Redco Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lehighton, PA
  • NPI 1174694897

  O20031201000295

  Same enrollment
• Redco Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pottsville, PA
  • NPI 1326024043

  O20031201000295

  Same enrollment
• Redco Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, PA
  • NPI 1497731137

  O20031201000295

  Same enrollment
• Redco Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stroudsburg, PA
  • NPI 1538145453

  O20031201000295

  Same enrollment

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1376528331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S CENTRE ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013001",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SOUTH CENTRE STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-628-5234",
            "fax_number": "570-628-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "GROUP",
        "authorized_official_first_name": "CASSI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-496-4374"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "203110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017170169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Alan Ravitz, M.D.
• Georgia Rayfield, BHT/RBT
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• Redco Group, LLC
• Redco Group, LLC
• John L Rehnert, LCSW
• Kelly Reno, LCSW
• Resources for Human Development, Inc.
• Revive Chiropractic, LLC
• Brittany Rhen

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.