Organization Active NPI

Essential Reflections Counseling and Consultation, LLC

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1619525763
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ESSENTIAL REFLECTIONS COUNSELING AND CONSULTATION, LLC
Practice address
4130 Linden Ave Ste 320
Dayton, OH 45432-3034
Phone
(937) 603-7746
NPI assigned
Sep 2, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Andrea Banks Raimey, LISW-SNPI 1114183696
Title
Owner
Phone
(937) 550-8996

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
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4130 Linden Ave Ste 320
Dayton, OH 45432-3034

Mailing address

4130 Linden Ave Ste 320
Dayton, OH 45432-3034
Phone (937) 603-7746

Other identifiers 1

IdentifierTypeStateIssuer
0318010MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrear@essentialreflectionscc.com Direct

National Provider Directory

National Provider Directory

Locations

4130 Linden Ave
Ste 320
Dayton, OH 45432
Phone (937) 550-8996

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1619525763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 320",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323034",
            "telephone_number": "937-603-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 320",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323034",
            "telephone_number": "937-603-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL REFLECTIONS COUNSELING AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "RAIMEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-550-8996",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318010",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrear@essentialreflectionscc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4130 Linden Ave Ste 320",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454323034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.