Active NPI
Rachel Cermak, MA
- Mental Health Counselor
- Lacey, WA
National Provider Identifier
1043805500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 418 Carpenter Rd SE Ste 203
Lacey, WA 98503-7905 - Phone
- (360) 878-9526
- NPI assigned
- Mar 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
418 Carpenter Rd SE Ste 203
Lacey, WA 98503-7905
Mailing address
418 Carpenter Rd SE Ste 203
Lacey, WA 98503-7905
Phone (360) 878-9526
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Thrive Psychotherapy PLLC | Mental Health | Current | Accepting new patients |
Locations
418 Carpenter Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 878-9526
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": "1614988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1043805500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CARPENTER RD SE STE 203",
"city": "LACEY",
"state": "WA",
"postal_code": "985037905",
"telephone_number": "360-878-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CARPENTER RD SE STE 203",
"city": "LACEY",
"state": "WA",
"postal_code": "985037905",
"telephone_number": "360-878-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMAK",
"first_name": "RACHEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-06",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.