Organization Active NPI

Rachelle Eldred Professional Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williston, ND
National Provider Identifier
1063995595
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RACHELLE ELDRED PROFESSIONAL COUNSELING SERVICES, PLLC
Practice address
511 2ND St W Ste B
Williston, ND 58801-5907
Phone
(701) 580-4623
NPI assigned
Sep 11, 2018
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Rachelle Christine Eldred, LPCCNPI 1407396005
Title
Owner/Therapist
Phone
(701) 580-4623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

511 2ND St W Ste B
Williston, ND 58801-5907

Mailing address

511 2ND St W Ste B
Williston, ND 58801-5907
Phone (701) 580-4623

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1063995595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 2ND ST W STE B",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-580-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 2ND ST W STE B",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-580-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE ELDRED PROFESSIONAL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "ELDRED",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "701-580-4623",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.