Individual provider Active NPI

Rachel Jean Gulelat, MA

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1013541762
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115
Phone
(503) 560-5822
Fax
(888) 503-2864
NPI assigned
Mar 2, 2020
Last updated
Jan 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115

Mailing address

4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115
Phone (503) 560-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20250418000639 OR Practitioner - Mental Health Counselor 5092230433 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Mental Health CurrentSince Apr 4, 2025 Accepting new patients
Firefly Institute CurrentSince Jan 21, 2022 Accepting new patients

Locations

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

1925 NE Stucki Ave
Ste 150
Hillsboro, OR 97006

4950 NE Belknap Ct
Ste 205
Hillsboro, OR 97124
Phone (503) 560-5822

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1013541762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245115",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 205",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245115",
            "telephone_number": "503-560-5822",
            "fax_number": "888-503-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULELAT",
        "first_name": "RACHEL",
        "middle_name": "JEAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.