Rachel Blankenburg
Individual provider Active NPI Professional Counselor · Burton, TX
NPI 1124814926 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1124814926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 97801 (TX)
- Practice address
- 3303 FM 2679 Rd
Burton, TX 77835-5525 - Phone
- (979) 421-0736
- NPI assigned
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 97801 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Haven, LLC | Professional | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 97801 | TX | Yes |
Addresses
Primary practice location
3303 FM 2679 Rd
Burton, TX 77835-5525
Mailing address
3303 FM 2679 Rd
Burton, TX 77835-5525
Phone (979) 421-0736
Other providers in Burton, TX
All providers in Burton, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. 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.