Organization Active NPI

Reclaimed Divergence LLC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1619716404
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECLAIMED DIVERGENCE LLC
Practice address
4790 Red Bank Rd Ste 216
Cincinnati, OH 45227-1509
Phone
(513) 900-2016
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Emiley Morton, DSWNPI 1962900134
Title
Co-Owner
Phone
(859) 559-3741

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X

Addresses

Primary practice location

4790 Red Bank Rd Ste 216
Cincinnati, OH 45227-1509

Mailing address

4790 Red Bank Rd Ste 216
Cincinnati, OH 45227-1509

Other names 1

  • Reclaimed Divergence Doing business as

National Provider Directory

National Provider Directory

Locations

4790 Red Bank Rd
Ste 216
Cincinnati, OH 45227
Phone (513) 900-2016

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": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1619716404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 216",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 216",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-900-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIMED DIVERGENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "EMILEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "859-559-3741",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reclaimed Divergence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.