Active NPI
Reclaim and Restore Healing Company
- Mental Health Counselor
- Edgewood, MD
National Provider Identifier
1699559179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RECLAIM AND RESTORE HEALING COMPANY
- Practice address
- 2120 Emmorton Park Rd Ste E
Edgewood, MD 21040-1066 - Phone
- (443) 402-1925
- Fax
- (213) 289-8532
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alana O'Neill, LGPC, CAC-AD
- Title
- President
- Phone
- (443) 402-1925
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Acupuncturist | 171100000X | |||
| Health & Wellness Coach | 171400000X | |||
| Naturopath | 175F00000X | |||
| Massage Therapist | 225700000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
2120 Emmorton Park Rd Ste E
Edgewood, MD 21040-1066
Mailing address
622 Dembytown Rd
Joppa, MD 21085-4111
Phone (202) 838-7186
Other practice location 1
622 Dembytown Rd
Joppa, MD 21085-4111
Phone (202) 838-7186
Other names 1
- R&R Healing Co.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240918000057 | MD | Part B Supplier - Clinic/Group Practice | 9739620717 |
Receives reassigned benefits from 8 practitioners Practice locations: Edgewood, MD; Joppa, MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Havre de Grace, MD
- NPI 1023699402
MD, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Conowingo, MD
- NPI 1881237972
MD, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1699559179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 DEMBYTOWN RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854111",
"telephone_number": "202-838-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 EMMORTON PARK RD STE E",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401066",
"telephone_number": "443-402-1925",
"fax_number": "213-289-8532"
}
],
"practiceLocations": [
{
"address_1": "622 Dembytown Rd",
"address_purpose": "LOCATION",
"city": "Joppa",
"state": "MD",
"postal_code": "210854111",
"country_code": "US",
"telephone_number": "202-838-7186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RECLAIM AND RESTORE HEALING COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "ALANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-402-1925",
"authorized_official_credential": "LGPC, CAC-AD"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R&R Healing Co.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edgewood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.