Active NPI
Rhemingtin Nycole Rexrode
- Professional Counselor
- Medina, OH
National Provider Identifier
1730895657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2204751
- Practice address
- 3591 Reserve Commons Dr Ste 100
Medina, OH 44256-5334 - Phone
- (261) 450-1613
- Fax
- (888) 494-1608
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2204751 | OH | Primary |
Addresses
Primary practice location
3591 Reserve Commons Dr Ste 100
Medina, OH 44256-5334
Mailing address
25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204751 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Recovery Concepts LLC | Professional | Current | Accepting new patients |
Locations
25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613
3591 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 721-6504
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1730895657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25700 SCIENCE PARK DR STE 210",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441227328",
"telephone_number": "216-450-1613",
"fax_number": "216-450-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 RESERVE COMMONS DR STE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565334",
"telephone_number": "261-450-1613",
"fax_number": "888-494-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXRODE",
"first_name": "RHEMINGTIN",
"middle_name": "NYCOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2204751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.