Active NPI
R F Rich-Fidler
Doing business as Faithful Remnant Counseling Center
- Community/Behavioral Health Agency
- Logan, OH
National Provider Identifier
1861023459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- R F RICH-FIDLER
- Doing business as
- Faithful Remnant Counseling Center
- Practice address
- 30811 Lake Logan Rd
Logan, OH 43138-9546 - Phone
- (740) 603-6165
- Fax
- (740) 777-4014
- NPI assigned
- Jan 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Faith Rich-Fidler, MA, LPCC, LICDC
- Title
- Owner/Clinician
- Phone
- (740) 603-7756
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
30811 Lake Logan Rd
Logan, OH 43138-9546
Mailing address
30811 Lake Logan Rd
Logan, OH 43138-9546
Phone (740) 603-7756
Other names 1
- Faithful Remnant Counseling Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Logan, OH
- NPI 1073010815
-
- Professional Counselor
- New Lexington, OH
- NPI 1043725500
-
- Case Manager/Care Coordinator
- Logan, OH
- NPI 1114550027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1861023459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30811 LAKE LOGAN RD",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389546",
"telephone_number": "740-603-7756",
"fax_number": "740-777-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30811 LAKE LOGAN RD",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389546",
"telephone_number": "740-603-6165",
"fax_number": "740-777-4014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R F RICH-FIDLER",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-31",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "RICH-FIDLER",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "FAITH",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "740-603-7756",
"authorized_official_credential": "MA, LPCC, LICDC"
},
"taxonomies": [
{
"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": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Faithful Remnant Counseling Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Faithful Remnant Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.