Individual provider Active NPI

Rachel Wheatley

  • Professional Counselor
  • Jackson, OH
National Provider Identifier
1124478722
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0800187-SUP Issued in OH
Practice address
500 Burlington Rd Ste 240
Jackson, OH 45640-9360
Phone
(740) 577-3492
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 111114C OH
Professional Counselor 101YP2500X 0800187-SUP OH Primary

Addresses

Primary practice location

500 Burlington Rd Ste 240
Jackson, OH 45640-9360

Mailing address

PO Box 724
Athens, OH 45701-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240123004057 OH Practitioner - Mental Health Counselor 2860844008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111114COHMDAddiction (Substance Use Disorder) Counselor
0800187-SUPOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc Addiction (Substance Use Disorder) CurrentSince Jan 2, 2024 Accepting new patients
Health Recovery Services, Inc Addiction (Substance Use Disorder) CurrentSince Jan 2, 2024 Accepting new patients

Locations

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

10050 Bassett Rd
Athens, OH 45701
Phone (740) 594-8108

224 Columbus Rd
Athens, OH 45701
Phone (740) 592-6720

120 Twin Oaks Dr
Jackson, OH 45640
Phone (740) 570-3450

500 Burlington Rd
Ste 240
Jackson, OH 45640
Phone (740) 286-5075

Organizations & group practices 2

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1124478722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457010724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BURLINGTON RD STE 240",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409360",
            "telephone_number": "740-577-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "111114C",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0800187-SUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.