Organization Active NPI

R F Rich-Fidler

Doing business as Faithful Remnant Counseling Center

  • Community/Behavioral Health Agency
  • Logan, OH
National Provider Identifier
1861023459
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 22, 2024

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, LICDCNPI 1073010815
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723000596 OH Part B Supplier - Clinic/Group Practice 3971049222 Receives reassigned benefits from 3 practitioners
Practice locations: Logan, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

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.

Verify at the official NPI Registry.