Real Life Solutions Behavioral Health, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC

Practice address

18848 State Route 136
Winchester, OH 45697

Phone

(937) 417-8049

Fax

(937) 504-5106

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Marcia L Silcott, CNPNPI 1184270050

Title

Ceo

Phone

(937) 205-6667

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Marcia L Silcott, CNP

  • Family Nurse Practitioner
  • Winchester, OH
  • NPI 1184270050

  OH

  Medicare reassignment NPD Authorized official
• Rebecca Kay Hardymon, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • Georgetown, OH
  • NPI 1184195570

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1952017188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10493 RUSSELLVILLLE-WINCHESTER RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979638",
            "telephone_number": "937-205-6667",
            "fax_number": "937-504-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18848 STATE ROUTE 136",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "45697",
            "telephone_number": "937-417-8049",
            "fax_number": "937-504-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10493 Russellville Winchester Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "OH",
            "postal_code": "456979638",
            "country_code": "US",
            "telephone_number": "937-205-6667",
            "fax_number": "937-504-5106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SILCOTT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-205-6667",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455913",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009114",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Orleck
• Melissa Partin, PT
• Thomas Payne III
• Allan Pederson
• Margie A Purcell
• Dennis R Rogers, LPN
• Misti Rogers, LPN
• Jessica Rae Ross, IP
• Whitney Ruble, LSW
• Brianna Schneider, LPN

• All providers in Winchester, OH
• Addiction Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.