Unwind Brent Rice Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNWIND BRENT RICE COUNSELING LLC

Practice address

320 Booth Ave
Owensboro, KY 42301-5029

Phone

(502) 515-7004

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Brent RiceNPI 1982158432

Title

MSW

Phone

(502) 515-7004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Brent Daniel Rice, MSW

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1982158432

  KY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1669112892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BOOTH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOOTH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015029",
            "telephone_number": "502-515-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNWIND BRENT RICE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MSW",
        "authorized_official_telephone_number": "502-515-7004"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100719340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.