Individual provider Active NPI

Raquel M Rhoads, CMHC

  • Mental Health Counselor
  • Tooele, UT
National Provider Identifier
1104391408
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12483724-6004 Issued in UT
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

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 5496299380, 4 clinicians

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

LicenseStateTypeSpecialty
12483724-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Valley Counseling PLLC CurrentSince May 17, 2024 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

Verify at the official NPI Registry.