NPIMap

Organization Active NPI

Reach Back Corporation

  • Mental Health Counselor
  • Reynoldsburg, OH
National Provider Identifier
1598690729
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REACH BACK CORPORATION
Practice address
1057 Twilight Dr
Reynoldsburg, OH 43068-1744
Phone
(614) 441-5419
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Debora Wallace-Wood, LPCC-S, LICDCNPI 1104371319
Title
Executive Director
Phone
(614) 441-5419

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1057 Twilight Dr
Reynoldsburg, OH 43068-1744

Mailing address

1057 Twilight Dr
Reynoldsburg, OH 43068-1744
Phone (614) 441-5419

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1598690729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 TWILIGHT DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681744",
            "telephone_number": "614-441-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 TWILIGHT DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681744",
            "telephone_number": "614-441-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH BACK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WALLACE-WOOD",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-441-5419",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.