Organization Active NPI

Reaching Resolution LLC

  • Mental Health Counselor
  • Matthews, NC
National Provider Identifier
1609268655
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A10291 Issued in NC
Legal business name
REACHING RESOLUTION LLC
Practice address
1140 Sam Newell Rd # B4
Matthews, NC 28105-5065
Phone
(704) 443-8148
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Dr. Tracy Masiello, PH.D.
Title
Psychologist
Phone
(704) 443-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A10291 NC Primary

Addresses

Primary practice location

1140 Sam Newell Rd # B4
Matthews, NC 28105-5065

Mailing address

1140 Sam Newell Rd # B4
Matthews, NC 28105-5065
Phone (704) 443-8148

National Provider Directory

National Provider Directory

Locations

1140 Sam Newell Rd
Ste B4
Matthews, NC 28105
Phone (704) 443-8148

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1609268655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SAM NEWELL RD # B4",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055065",
            "telephone_number": "704-443-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SAM NEWELL RD # B4",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055065",
            "telephone_number": "704-443-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING RESOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MASIELLO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "704-443-8148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.