Active NPI
Raquel M Rhoads, CMHC
- Mental Health Counselor
- Tooele, UT
National Provider Identifier
1104391408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12483724-6004
- Practice address
- 1244 N Main St Ste 202
Tooele, UT 84074-5009 - Phone
- (435) 850-7378
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 12483724-6004 | UT | Primary |
Addresses
Primary practice location
1244 N Main St Ste 202
Tooele, UT 84074-5009
Mailing address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671
Other practice location 1
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815001974 | UT | Practitioner - Mental Health Counselor | 6406394931 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tooele Valley Counseling PLLC
Practice addresses (Care Compare)
1102 W 60
Suite 6
Tooele, UT 84074-2881
Phone (435) 850-7378
234 W Sapphire Dr
Tooele, UT 84074-5410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12483724-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tooele Valley Counseling PLLC | Current | Accepting new patients |
Locations
1244 N Main St
Ste 202
Tooele, UT 84074
Phone (435) 850-7378
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1104391408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 COUNTY ROAD 9 S",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811019610",
"telephone_number": "719-589-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 N MAIN ST STE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840745009",
"telephone_number": "435-850-7378"
}
],
"practiceLocations": [
{
"address_1": "8745 County Road 9 S",
"address_purpose": "LOCATION",
"city": "Alamosa",
"state": "CO",
"postal_code": "811019610",
"country_code": "US",
"telephone_number": "719-589-3671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHOADS",
"first_name": "RAQUEL",
"middle_name": "M",
"credential": "CMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "12483724-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.