Active NPI
Rys Rock Your Soul
- Community/Behavioral Health Agency
- Hickory, NC
National Provider Identifier
1467293142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RYS ROCK YOUR SOUL
- Practice address
- 929 15TH St NE Ste 300
Hickory, NC 28601-4162 - Phone
- (206) 330-3945
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Johnson-Das, LCAS
- Title
- Owner
- Phone
- (206) 330-3945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
929 15TH St NE Ste 300
Hickory, NC 28601-4162
Mailing address
929 15TH St NE Ste 300
Hickory, NC 28601-4162
Phone (206) 330-3945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260226003059 | NC | Part B Supplier - Clinic/Group Practice | 7517448533 | Practice locations: Hickory, NC |
National Provider Directory
National Provider DirectoryLocations
929 15th St NE
Ste 300
Hickory, NC 28601
Phone (206) 330-3945
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Hickory, NC
- NPI 1891253266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1467293142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 15TH ST NE STE 300",
"city": "HICKORY",
"state": "NC",
"postal_code": "286014162",
"telephone_number": "206-330-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 15TH ST NE STE 300",
"city": "HICKORY",
"state": "NC",
"postal_code": "286014162",
"telephone_number": "206-330-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYS ROCK YOUR SOUL",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "JOHNSON-DAS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-330-3945",
"authorized_official_credential": "LCAS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.