Ambrose Resa Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004060A Issued in IN

Practice address

2037 US Highway 41
Schererville, IN 46375-2801

Phone

(219) 595-0281

Fax

(219) 595-0288

NPI assigned

Nov 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• New Life New You, Inc

  • Mental Health Counselor
  • Schererville, IN
  • NPI 1902363260
  NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1922550268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752801",
            "telephone_number": "219-595-0281",
            "fax_number": "219-595-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 US HIGHWAY 41",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752801",
            "telephone_number": "219-595-0281",
            "fax_number": "219-595-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESA",
        "first_name": "AMBROSE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2022-08-29",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012351",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004060A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Ray, FNP-BC
• David Francis Ray, DPM
• Rci (WRS), LLC.
• Region Dental Group LLC
• Rejuvenation House Medi-Spa LLC
• RH Clinic LLC
• Paul D Rhodea
• Elisa R. Rhodes, NURSE PRACTITIONER
• Richard a. Guaccio
• John William Ringo, DDS

• Mental Health Counselor in Schererville, IN
• Providers in Schererville, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.