Individual provider Active NPI

Jeff A Rhein, PCC-SUPV

  • Professional Counselor
  • Mason, OH
National Provider Identifier
1639197536
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-4065-SUPV Issued in OH
Practice address
201 Reading Rd
Mason, OH 45040-1666
Phone
(513) 398-2551
Fax
(513) 459-7300
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-4065-SUPV OH Primary

Addresses

Primary practice location

201 Reading Rd
Mason, OH 45040-1666

Mailing address

975 Fujitec Dr BLDG a
Suite 400
Lebanon, OH 45036-8336
Phone (513) 228-7854

Other identifiers 1

IdentifierTypeStateIssuer
000000290378OtherOHANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E-4065-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Centers of Warren County, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1639197536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 FUJITEC DR BLDG A",
            "address_2": "SUITE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368336",
            "telephone_number": "513-228-7854",
            "fax_number": "513-228-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 READING RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401666",
            "telephone_number": "513-398-2551",
            "fax_number": "513-459-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEIN",
        "first_name": "JEFF",
        "middle_name": "A",
        "credential": "PCC-SUPV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-4065-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000290378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.