Rachel Gunner, LCSW,BCD
Individual provider Active NPI Mental Health Counselor · Austin, SD
NPI 1104833870 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104833870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 09776 (TX)
- Practice address
- 512 E. Riverside Dr.
Suite 201
Austin, SD 78704 - Phone
- (512) 445-5633
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 09776 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 09776 | TX | Yes |
Addresses
Primary practice location
512 E. Riverside Dr.
Suite 201
Austin, SD 78704
Mailing address
512 E Riverside Dr
Suite 201
Austin, TX 78704-1357
Phone (512) 445-5633
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.