Individual provider Active NPI

Rachelle A Bartlett, MS, PLMHC

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1033720057
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
100828 Issued in IA
Practice address
803 3Rd Ave
Council Bluffs, IA 51501-4101
Phone
(712) 352-0917
NPI assigned
Aug 13, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 100828 IA Primary

Addresses

Primary practice location

803 3Rd Ave
Council Bluffs, IA 51501-4101

Mailing address

77 Kenmore Ave
Council Bluffs, IA 51503-4735
Phone (531) 222-0500

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
100828IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy Center, LLC Mental Health CurrentSince Aug 23, 2020 Accepting new patients
A Safe Place Iowa Mental Health CurrentSince Oct 27, 2024 Accepting new patients

Locations

803 3rd Ave
Council Bluffs, IA 51501
Phone (712) 352-0917

Organizations & group practices 2

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1033720057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 KENMORE AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034735",
            "telephone_number": "531-222-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 3RD AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515014101",
            "telephone_number": "712-352-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "RACHELLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MS, PLMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "100828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.