Active NPI
Rachael Marble Leary, MA, LPC
- Professional Counselor
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6420
- Practice address
- 2424 SW Pumice Ave
Redmond, OR 97756-6729 - Phone
- (541) 668-6141
- Fax
- (541) 236-0332
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21-12-20128 | OR | |
| Mental Health Counselor | 101YM0800X | C6420 | OR | |
| Professional Counselor | 101YP2500X | C6420 | OR | Primary |
Addresses
Primary practice location
2424 SW Pumice Ave
Redmond, OR 97756-6729
Mailing address
70 SW Century Dr Ste 100-5038
Bend, OR 97702-3557
Phone (541) 668-6141
Other practice location 1
70 SW Century Dr Ste 100-5038
Bend, OR 97702-3557
Phone (541) 668-6141
Other practice location 2
376 SW Bluff Dr Ste 2
Bend, OR 97702-1399
Phone (541) 668-6141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043638448 | Other | NPI1 | |
| 500672516 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
376 SW Bluff Dr
Suite 2
Bend, OR 97702-1399
Phone (541) 668-6141
70 SW Century Dr
Suite 100 5038
Bend, OR 97702-3557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marble Counseling & Consulting, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
376 SW Bluff Dr
Ste 2
Bend, OR 97702
Phone (541) 668-6141
70 SW Century Dr
Ste 1005038
Bend, OR 97702
Phone (541) 668-6141
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.
-
- Mental Health Counselor
- Bend, OR
- NPI 1700545522
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1043638448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SW CENTURY DR STE 100-5038",
"city": "BEND",
"state": "OR",
"postal_code": "977023557",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 SW PUMICE AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977566729",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332"
}
],
"practiceLocations": [
{
"address_1": "70 SW Century Dr Ste 100-5038",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977023557",
"country_code": "US",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "376 SW Bluff Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977021399",
"country_code": "US",
"telephone_number": "541-668-6141",
"fax_number": "541-236-0332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEARY",
"first_name": "RACHAEL",
"middle_name": "MARBLE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "21-12-20128",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6420",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI1",
"identifier": "1043638448",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500672516",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.