Monica Ann Rynearson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801112258 Issued in MI

Practice address

127 N River St
Fenton, MI 48430-3800

Phone

(810) 309-9355

Fax

(810) 750-1152

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Emotional Wellness PLLCGroup PAC ID 1052760725, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Emotional Wellness, PLLC

  • Clinical Social Worker
  • Davison, MI
  • NPI 1144906546
  Medicare reassignment Care Compare group NPD
• Dailey Life, Inc.

  • Marriage & Family Therapist
  • Flint, MI
  • NPI 1528095346
  NPD (past)
• Fenton Wellness

  dba Jennifer Flack

  • Psychologist
  • Fenton, MI
  • NPI 1386964278

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1871254151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 E SOUTH HOLLY RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302325",
            "telephone_number": "810-845-8424",
            "fax_number": "810-750-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-309-9355",
            "fax_number": "810-750-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNEARSON",
        "first_name": "MONICA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6801112258",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@fentonwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "127 N River St",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484303800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@fentonwellness.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "J Flack PsyD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 N River St",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484303800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "staff@fentonwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 N River St",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484303800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Room to Reflect LLC
• Jaime L Rosewarne, DC
• John Edward Ross, PSYD
• Sarah Rozboril
• Logan James Rubel, LLMSW
• Saini Family Wellness, PLLC (Evolve Wellness Co.)
• Krysia Santana
• Sarah Paxton DDS PC
• Luther Savage, LLPC
• Thomas Richard Schaefer, NP

• Clinical Social Worker in Fenton, MI
• Providers in Fenton, 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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.