Basic Information

Name*

• Required

• Name of Company/Agency

• This will show on reports pulled from the Reporting Dashboard, such as the Billing Export

Email*

• Required

• Company email address

Phone*

• Required

• Company phone number

FAX

• Company fax number

Website*

• Required

• Company website

Federal Tax Id#*

• Required

• Will appear on the Billing Export

• May need to be entered for EVV

National Provider Identified (NPI)#*

• Required

• Company NPI # (Type 2)

• Will appear on the Billing Export

Medicaid ID #

• You can add multiple Medicaid ID#'s by clicking the plus button

• Must be entered for EVV

Time Zone*

• Required

• Set to appropriate time zone

Logo

• To upload your company logo, click “Choose File”. Your logo will be immediately visible on the Company Account Tab

• Must be in PNG or JPEG formatting

• Your logo will also then be visible on completed session notes/soap notes and treatment reports/funder reports.

  • If no logo is added, our Rethink logo will appear on all saved session notes and reports

International Account

• Only select if you are outside of the United States

• This checkbox will allow you add and edit international address information throughout your account