Rachel Cara Gill, PSS
Individual provider Active NPI Peer Specialist · Madras, OR
NPI 1073972485 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1073972485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- THW0455 (OR)
- Practice address
- 850 SW 4TH St Ste 302
Madras, OR 97741-9629 - Phone
- (541) 475-6575
- Fax
- (541) 475-6196
- NPI assigned
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW0455 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestcare Treatment Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | THW0455 | OR | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
850 SW 4TH St Ste 302
Madras, OR 97741-9629
Mailing address
PO Box 1710
Redmond, OR 97756-0516
Phone (541) 475-6575
Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.