Recreate Life Counseling

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

RECREATE LIFE COUNSELING

Practice address

3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662

Phone

(561) 814-2055

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Jesse Reuter

Title

Director

Phone

(561) 814-2055

Specialties & licenses 1

Addresses

Tax ID family

Recreate Life Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Recreate Life Counseling Centers

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1114386562
  NPD tax ID

Locations

Practitioners 1

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

• Patrick Michael Casey Jr., ARNP, FNP-C

  • Nurse Practitioner
  • Delray Beach, FL
  • NPI 1477035707
  NPD

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1831543206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE # D306",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "561-814-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358662",
            "telephone_number": "561-814-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECREATE LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "REUTER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-814-2055"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reco Institute
• Reco Island Detox LLC
• Reconnect Care LLC
• Recovery Forever, LLC
• Recovery Restart, LLC
• Recreate Life Counseling Centers
• Recreate Life Counseling Services BH LLC
• Lisa Natalie Rector, ARNP
• Red Bridge Family & Psychiatric Care, LLC
• Jordan Redding, AUD

• Addiction Medicine (Family Medicine) Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.