Re-Elevation Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RE-ELEVATION COUNSELING LLC

Practice address

872 S Grove St Ste LL
Ypsilanti, MI 48198-6300

Phone

(734) 219-3711

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Rhonda Bantsimba, LMSW

Title

Owner/LMSW

Phone

(734) 219-3711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1831665215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 S GROVE ST STE LL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986300",
            "telephone_number": "734-219-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S GROVE ST STE LL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986300",
            "telephone_number": "734-219-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-ELEVATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "BANTSIMBA",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER/LMSW",
        "authorized_official_telephone_number": "734-219-3711",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bipin K Ravindran, M.D.
• Ray of Sunshine Companions
• Chandler Joseph Ray, MD
• Shane Ray, MSW
• Syed Ali Masum Razvi, MD
• Kellie Reading, MD
• Joshua W. Reagle, D.O.
• Kayla Rose Reardon
• Madeline Reau
• Erica Reaume, CTRS

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.