Catalyst Recovery and Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CATALYST RECOVERY AND WELLNESS LLC

Practice address

9309 Center St Ste 101
Manassas, VA 20110-5599

Phone

(703) 546-1834

Fax

(571) 336-5464

NPI assigned

Sep 30, 2019

Last updated

Jul 18, 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

Joo-Rhee JacobNPI 1134994601

Title

Authorized Official

Phone

(703) 546-1834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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.

• Jan Austin Weng, LPC

  • Professional Counselor
  • Alexandria, VA
  • NPI 1679911754
  Medicare reassignment NPD
• Joo-Rhee Jacob

  • Peer Specialist
  • Manassas, VA
  • NPI 1134994601
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1598306649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 CENTER ST STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105599",
            "telephone_number": "703-546-1834",
            "fax_number": "571-336-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 CENTER ST STE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105599",
            "telephone_number": "703-546-1834",
            "fax_number": "571-336-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JOO-RHEE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "703-546-1834"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari-Ann Cassedy, OTR/L
• Brenda C Castellanos
• Sheri Lynn Castellarin, MSED SLP
• Chaundra Schlese Castilla
• Shane Vincent Caswell, ATC
• Catholic Charaties Diocese of Arlington (Mother of Mercy Free Medical Clinic)
• Carrie L. Cavanaugh
• Priscilla Ku Cavanaugh, M.D.
• Cavery Wellness of Manassas, LLC
• CCPS Health LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Manassas, VA
• Providers in Manassas, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.