Recharge Your Life LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RECHARGE YOUR LIFE LLC

Practice address

845 N Park Rd
Wyomissing, PA 19610-1342

Phone

(484) 269-6752

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Colleen Annmarie Gensemer, LPCNPI 1467671271

Title

Owner

Phone

(484) 269-6572

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colleen Gensemer

  • Professional Counselor
  • Wyomissing, PA
  • NPI 1467671271
  NPD (past) Authorized official
• Christa Buckley

  • Mental Health Counselor
  • Wyomissing, PA
  • NPI 1023991981
  NPD
• Yamisel Martinez-Molina, LPC

  • Professional Counselor
  • Lebanon, PA
  • NPI 1639836539
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1801442355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101342",
            "telephone_number": "484-269-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101342",
            "telephone_number": "484-269-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "752 Willow St Ste G",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465066",
            "country_code": "US",
            "telephone_number": "484-269-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECHARGE YOUR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "GENSEMER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ANNMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-269-6572",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "PC004498",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rechargeyourlife@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "845 N Park Rd",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Eileen Marie Rearden, M.A., CCC/SLP
• Pratap Verreddigari Reddy, MD
• Brian Keith Reedy, MD
• Dawn Nicole Reedy, MS, BSL
• Stephanie Ann Reesman, PMHNP-BC
• Ralph M. Reeves, M.D.

• Mental Health Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.