Reawakening Therapy Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REAWAKENING THERAPY GROUP

Practice address

905 Main St Ste 205
Klamath Falls, OR 97601-6066

Phone

(661) 301-1793

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Gustavo Barrientos Jr., QMHP

Title

Owner

Phone

(661) 301-1793

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1871229302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 205",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016066",
            "telephone_number": "661-301-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 205",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016066",
            "telephone_number": "661-301-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAWAKENING THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-301-1793",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Ruth Rasmussen, M.S., CCC-SLP
• Rastislav Kucinsky MD PC
• Desirae Dawn Rathbone, AG-ACNP-BC
• Raul a Mirande MD PC
• Marcela Alexandra Ray, PSS, QMHA
• Rebecca T Morton Nonweiler MD Inc
• Recovery Zone Physical Therapy, PC
• Red Is the Road to Wellness (RRW)
• Selena Nicole Reed, RN
• Deborah A Reese, OTR

• Mental Health Counselor in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.