Your Story Rewritten, LLC

Primary specialty

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

Legal business name

YOUR STORY REWRITTEN, LLC

Practice address

1241 N Road St
Elizabeth City, NC 27909-3335

Phone

(252) 368-9124

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Cerissa Carroll Payment Rhodes, LCSWNPI 1851532170

Title

Owener

Phone

(808) 375-0074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Cerissa Payment Rhodes, LCSW

  • Clinical Social Worker
  • Elizabeth City, NC
  • NPI 1851532170
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1427748276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335",
            "telephone_number": "252-368-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR STORY REWRITTEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "PAYMENT RHODES",
        "authorized_official_first_name": "CERISSA",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "808-375-0074",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Kyung Yang, PHARMD
• Shuhua Yin, NP
• Katelyn Elizabeth Ylitalo, PHARM. D
• Hannah R Young
• Stephanie Young, BCBA
• Youth and Family Intervention LLC
• Margaret Sawyer Zirpoli, FNP - C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.