Rachel A Archer, LPCC – Professional Counselor

Key facts

NPI: 1053924845
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 265282 (KY)
Practice address: 250 Alpine Dr
Shelbyville, KY 40065-8880
Phone: (502) 633-5683
Fax: (502) 633-6203
NPI assigned: Aug 31, 2020
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Mandala House, LLC Clinical Psychologist · Louisville, KY · NPI 1659829760

Medicare reassignment Care Compare group NPD KY
Seven Counties Services, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Louisville, KY · NPI 1598793671

NPD

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Mandala House, LLC (8 clinicians)

Practice addresses (Care Compare)

633 Baxter Ave
Louisville, KY 40204-1157
Phone (502) 309-2408

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240614003340	KY	Practitioner - Mental Health Counselor	4688117930	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
265282	KY	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Mandala House, LLC		Current since Jan 1, 2024	Accepting new patients
Seven Counties Services, Inc.		Current since Sep 6, 2020	Accepting new patients

Locations

1190 E Broadway
Louisville, KY 40204
Phone (502) 309-2408

10401 Linn Station Rd
Louisville, KY 40223

633 Baxter Ave
Louisville, KY 40204
Phone (502) 309-2408

250 Alpine Dr
Shelbyville, KY 40065
Phone (502) 588-9860

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	265282	KY	Yes

Addresses

Primary practice location

250 Alpine Dr
Shelbyville, KY 40065-8880

Mailing address

10401 Linn Station Rd
Louisville, KY 40223-3842
Phone (502) 589-8600

Other providers in Shelbyville, KY

All providers in Shelbyville, KY · Professional Counselor in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.