Peponi Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEPONI WELLNESS LLC

Practice address

433 Avon Way
Kettering, OH 45429-1433

Phone

(312) 447-9709

Fax

(888) 920-2046

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Mary Kathryn Rehard, MSW, LISW-S

Title

Owner and Clinician

Phone

(312) 447-9709

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723939200000",
    "number": "1760917223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454090236",
            "telephone_number": "312-447-9709",
            "fax_number": "888-920-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 AVON WAY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291433",
            "telephone_number": "312-447-9709",
            "fax_number": "888-920-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPONI WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "REHARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER AND CLINICIAN",
        "authorized_official_telephone_number": "312-447-9709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Yvette Pelfrey, M.D.
• Richard Joseph Pelstring, M.D.
• Shital Pema, DPM
• Brian Michael Pennington, MD
• Devin Pennington, PHARMACIST
• Peponi Wellness Solutions LLC
• Emily Perkins
• Jackie Renea' Perry, LPN
• Sue E Perry, CRNA
• Robin Stubbs Peter, OT

• Clinical Social Worker in Kettering, OH
• Providers in Kettering, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; 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.