Rose Oak Mental Health PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ROSE OAK MENTAL HEALTH PLLC

Practice address

11308 Autumn Breeze TRL Ste 1
Clio, MI 48420-1592

Phone

(989) 996-5544

NPI assigned

Jan 26, 2024

Last updated

Mar 7, 2024By 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

Destiny Ernestine Reikowsky, LMSWNPI 1518450840

Title

Owner/Clinical Therapist

Phone

(989) 996-5544

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.

• Destiny E Reikowsky, LMSW

  • Social Worker
  • Clio, MI
  • NPI 1518450840
  Authorized official Same address or phone

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1497517288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 AUTUMN BREEZE TRL STE 1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592",
            "telephone_number": "989-996-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11308 AUTUMN BREEZE TRL STE 1",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201592",
            "telephone_number": "989-996-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OAK MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "REIKOWSKY",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "ERNESTINE",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "989-996-5544",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Richardson
• Mary Ann Rini, OTR
• RMR Weight Management
• Robin Fenlon LMSW PC
• Chelsea Lauren Robinson
• Alexandra M Rosner
• Joshua David Ruiz, PTA
• Gary Sheldon Salem, D.O.
• Lori Ellen Sanden, COTA
• Siva Sankaran, MD

• Social Worker in Clio, MI
• Providers in Clio, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.