NPIMap

Organization Active NPI

Rejuvenation House PLLC

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1508335415
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
REJUVENATION HOUSE PLLC
Practice address
2800 Old Stagecoach LN
Raleigh, NC 27603-8234
Phone
(919) 377-0012
Fax
(844) 856-0856
NPI assigned
Nov 20, 2018
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mr. John Martin Swails, LMFTNPI 1578941837
Title
Owner/Clinical Director
Phone
(919) 377-0099

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2800 Old Stagecoach LN
Raleigh, NC 27603-8234

Mailing address

2800 Old Stagecoach LN
Raleigh, NC 27603-8234
Phone (919) 377-0012

Other names 1

  • Rejuvenation House LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1140 Kildaire Farm Rd
Ste 2061
Cary, NC 27511

1140 Kildaire Farm Rd
Ste 304
Cary, NC 27511
Phone (919) 267-1161

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1508335415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 OLD STAGECOACH LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038234",
            "telephone_number": "919-377-0012",
            "fax_number": "844-856-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 OLD STAGECOACH LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038234",
            "telephone_number": "919-377-0012",
            "fax_number": "844-856-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION HOUSE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "SWAILS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-377-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenation House LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.