Individual provider Active NPI

Rachel Marie Slater

  • Mental Health Counselor
  • Roanoke, VA
National Provider Identifier
1043021983
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014577 Issued in VA
Practice address
3003 Hollins Rd NE
Roanoke, VA 24012-7505
Phone
(540) 353-2838
NPI assigned
Jan 20, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 0704014577 VA Primary

Addresses

Primary practice location

3003 Hollins Rd NE
Roanoke, VA 24012-7505

Mailing address

1023 Welton Ave SW
Roanoke, VA 24015-2520

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

State licenses

LicenseStateTypeSpecialty
0704014577VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Behavioral Healthcare CurrentSince Jan 26, 2025 Accepting new patients

Locations

3003 Hollins Rd NE
Roanoke, VA 24012
Phone (540) 344-6208

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1043021983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WELTON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOLLINS RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127505",
            "telephone_number": "540-353-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.