Roela Redd

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5081 Issued in TN

Practice address

207 N Boone St Ste 13
Johnson City, TN 37604-5659

Phone

(865) 338-5384

Fax

(865) 338-5383

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Next Step Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
  • NPI 1770089351
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1689248965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 MORNINGSTAR LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091346",
            "telephone_number": "865-338-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST STE 13",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045659",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "ROELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janika Ziarah Raynes, MD
• Desiree Raynor, NP-C
• Cheryl A Reardon, DPH, CDE
• Rebirth Advanced Healing LLC
• Paula Reborchick
• Julie Marie Reddick, MD
• Avinash Gollakistagari Reddy, D.O.
• Chakradhar Madhavareddigari Reddy, M.D
• Illuri Radhika Reddy, MD
• Swarna Reddy, MD

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.