Rebel Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REBEL HEALTH LLC

Doing business as

Ellie Mental Health

Practice address

200 W County Line Rd Ste 250
Highlands Ranch, CO 80129-2342

Phone

(303) 946-7683

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Joel Rieck

Title

Ceo

Phone

(303) 946-7683

Specialties & licenses 2

Addresses

Other names 1

• Ellie Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Rebel Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rebel Health LLC

  • Mental Health Counselor
  • Highlands Ranch, CO
  • NPI 1306608328
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecelia Guerrie, MA, LPCC

  • Mental Health Counselor
  • Englewood, CO
  • NPI 1225792062
  Medicare reassignment Care Compare group NPD
• Hannah Popkin

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1992577506
  Medicare reassignment Care Compare group NPD
• Elizabeth Dowdell, LPC

  • Professional Counselor
  • Littleton, CO
  • NPI 1043555980
  Medicare reassignment NPD
• Ciana Newberry, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1861102253

  Mental Health

  NPD

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1396478053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10189 QUARRY HILL PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 250",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-946-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "RIECK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-946-7683"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Marie Ratner, LCSW
• Audrey Ray, PMHNP
• Tyler James Ready, DPT
• Megan Elizabeth Reardon
• Rebel Health LLC
• Recovery Village at Palmer Lake, LLC
• Recovery Village at Palmer Lake, LLC
• Thomas B. Redd, D.D.S., M.S.
• Trent Russell Redfearn, D.D.S.
• Redstone Dental Group, LLP

• Mental Health Counselor in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.