Redeeming Hearts LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REDEEMING HEARTS LLC

Practice address

1103 W Ironwood Dr
Coeur D Alene, ID 83814-2604

Phone

(509) 336-5972

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Jack Anthony Venbrux, MANPI 1679759500

Title

Sole Member

Phone

(509) 336-5972

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Jack A Venbrux, M.A., LCPC, LMHC

  • Mental Health Counselor
  • Coeur d'Alene, ID
  • NPI 1679759500
  NPD (past) Authorized official

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1700379443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "509-336-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "509-336-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMING HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "VENBRUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-336-5972",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60249089",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE STATE OF IDAHO",
            "identifier": "LCPC-6701",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE WA STATE",
            "identifier": "LH60249089",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine B. Ream
• Navara Reardon, LMSW
• Rebalance Healing LLC
• Matthew Reckinger-Rowe, PHD,CPC, CMLC.
• Susan Nasser Record, LPC
• Carrie Reecer
• Kylie Reed
• Megan Reed, FNP
• Cody Reese, PA-C
• Laurie D Regan, LCSW 688

• Mental Health Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.