Outside Rein, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OUTSIDE REIN, LLC

Practice address

13576 County Rd 1
Florissant, CO 80816-9001

Phone

(719) 235-7473

Fax

(719) 748-0196

NPI assigned

Dec 31, 2018

Last updated

Dec 31, 2018By 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

Mrs. Monique Julia Ekker, LPC, LACNPI 1700241361

Title

Owner/Therapist

Phone

(719) 235-7473

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Monique Julia Ekker

  • Mental Health Counselor
  • Florissant, CO
  • NPI 1700241361
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1508338575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13576 COUNTY RD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169001",
            "telephone_number": "719-235-7473",
            "fax_number": "719-748-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 COUNTY RD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169001",
            "telephone_number": "719-235-7473",
            "fax_number": "719-748-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE REIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "EKKER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-235-7473",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Florissant, CO
• Providers in Florissant, 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 Dec 31, 2018; 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.