Individual provider Active NPI

Rachel Rudel, LPC, RDT

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1063193712
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015792 Issued in PA
Practice address
322 N Shore Dr
Pittsburgh, PA 15212-5875
Phone
(425) 600-6425
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015792 PA Primary

Addresses

Primary practice location

322 N Shore Dr
Pittsburgh, PA 15212-5875

Mailing address

140 Fenwick Dr
Pittsburgh, PA 15235-5014
Phone (412) 526-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001788 PA Practitioner - Mental Health Counselor 0749714020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Wellness and RecoveryGroup PAC ID 6103369848, 2 clinicians

Practice addresses (Care Compare)

3025 Jacks Run Rd
Suite 5
White Oak, PA 15131-2549
Phone (412) 254-3614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Wellness and Recovery Professional Current Accepting new patients
Elevate Wellness and Recovery CurrentSince Oct 8, 2024 Accepting new patients

Locations

3025 Jacks Run Rd
Ste 5
White Oak, PA 15131
Phone (412) 254-3614

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1063193712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FENWICK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355014",
            "telephone_number": "412-526-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N SHORE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125875",
            "telephone_number": "425-600-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEL",
        "first_name": "RACHEL",
        "credential": "LPC, RDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.