Rachelle Ellery, M.S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF82840 Issued in CA

Practice address

548 SE Jackson St
Roseburg, OR 97470-4983

Phone

(541) 672-2691

Fax

(833) 299-8415

NPI assigned

Nov 12, 2014

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachelle Hunter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

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.

• Zion Horizons, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseburg, OR
  • NPI 1386529212
  NPD Authorized official

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1063818490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700254",
            "telephone_number": "541-672-2691",
            "fax_number": "833-299-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704983",
            "telephone_number": "541-672-2691",
            "fax_number": "833-299-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERY",
        "first_name": "RACHELLE",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF82840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "HUNTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet G. Eggers, PMHNP
• David H Eichman, DDS
• Electrolysis and Esthetic by Joanne
• Lawrence David Elkins, MSW, LCSW
• Pamela H Ellenburg, DO
• Deanna L Ellingson
• Jessica Elliott
• Sheryl Lynn Elliott, MSW
• Marsha M Ellis, BA
• Susan Ellis, PMHNP

• Marriage & Family Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.