Individual provider Active NPI

Rachel M. Kleibor, LCSW, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1023211109
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15002-131 Issued in WI
Practice address
1409 Emil St
Madison, WI 53713-2374
Phone
(608) 283-6426
Fax
(608) 283-6374
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15002-131 WI Primary
Clinical Social Worker 1041C0700X 7255-123 WI

Addresses

Primary practice location

1409 Emil St
Madison, WI 53713-2374

Mailing address

5316 Healy LN
Monona, WI 53716-2519
Phone (608) 442-8357

Other identifiers 1

IdentifierTypeStateIssuer
43706700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15002-131WIMDAddiction (Substance Use Disorder) Counselor
7255-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Community Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023211109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 HEALY LN",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537162519",
            "telephone_number": "608-442-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 EMIL ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132374",
            "telephone_number": "608-283-6426",
            "fax_number": "608-283-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIBOR",
        "first_name": "RACHEL",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15002-131",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7255-123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43706700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.