NPIMap

Organization Active NPI

Rebirth Counseling and Therapy Services LLC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1659843555
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REBIRTH COUNSELING AND THERAPY SERVICES LLC
Practice address
26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190
Phone
(216) 200-5433
Fax
(888) 745-5166
NPI assigned
Dec 18, 2018
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Mrs. Angelia Worley, LPCCNPI 1538430103
Title
Owner/ Provider
Phone
(216) 200-5433

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190

Mailing address

16781 Chagrin Blvd Ste 436
Shaker Heights, OH 44120-3721
Phone (216) 200-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213002404 OH Part B Supplier - Clinic/Group Practice 1355790544 Receives reassigned benefits from 5 practitioners
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1659843555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16781 CHAGRIN BLVD STE 436",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203721",
            "telephone_number": "216-200-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 1105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221190",
            "telephone_number": "216-200-5433",
            "fax_number": "888-745-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH COUNSELING AND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "216-200-5433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.