Active NPI
Rachel Ann Delateur, LMHC, GMHS
- Mental Health Counselor
- Olympia, WA
National Provider Identifier
1053840579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60158713
- Practice address
- 2101 4TH Ave E Ste 200
Olympia, WA 98506-6512 - Phone
- (360) 786-9499
- Fax
- (360) 786-0758
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 60158713 | WA | Primary |
Addresses
Primary practice location
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Mailing address
2101 4TH Ave E Ste 200
Olympia, WA 98506-6512
Phone (360) 786-9499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100596 | Medicaid | WA | |
| 60158713 | Other | WA | WA DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60158713 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1053840579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "360-786-9499",
"fax_number": "360-786-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 4TH AVE E STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066512",
"telephone_number": "360-786-9499",
"fax_number": "360-786-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELATEUR",
"first_name": "RACHEL",
"middle_name": "ANN",
"credential": "LMHC, GMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60158713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100596",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPARTMENT OF HEALTH",
"identifier": "60158713",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.