Redwood Trauma & Christian Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REDWOOD TRAUMA & CHRISTIAN COUNSELING

Practice address

8155 Red Bud CT
Newburgh, IN 47630-1182

Phone

(812) 202-0953

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Jeneva CarronNPI 1033496260

Title

Owner

Phone

(812) 202-0953

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Jeneva Carron, MA, LMHC, LPCC, CCTP

  • Professional Counselor
  • Newburgh, IN
  • NPI 1033496260

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1619711397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 RED BUD CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 RED BUD CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301182",
            "telephone_number": "812-202-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD TRAUMA & CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "CARRON",
        "authorized_official_first_name": "JENEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-202-0953"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Ransom
• Srinivasan Rao, MD
• Jane E Rauscher, PNP-C
• Michael Douglas Ray, DC
• Pranay Ryan Reddy, MD
• James Christopher Reed, OTR/L
• Nathan James Reed, MD
• Kayla Rees
• Samantha Megan Jane Reese
• Reeverts Rehabilitation and Performance Training

• Professional Counselor in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.