Rain to Rainbow Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019167 Issued in IL

Legal business name

RAIN TO RAINBOW COUNSELING, LLC

Practice address

690 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014

Phone

(779) 800-5859

NPI assigned

Aug 6, 2018

Last updated

Aug 7, 2018By 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. Kellie Stryker, LCSWNPI 1588142012

Title

Clinical Social Worker

Phone

(779) 800-5859

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie Stryker, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1588142012
  Authorized official Same address or phone

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1386123818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 GLENDALE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148431",
            "telephone_number": "779-800-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "779-800-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIN TO RAINBOW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "STRYKER",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "779-800-5859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saleem Iqbal Qureshi, MD
• Catherine Ann Radosevich, PSYD
• Andrea J Raffaele, PT
• Rahil Baxamusa DPM
• Feraz Najmi Rahman, MD
• Ashley Rainey, MS, OTR/L
• Rainwater Counseling and Wellness
• Victoria Lynn Rake, D.C.
• Amber Rakoczy
• Kimberly Ramire, PTA

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.