Individual provider Active NPI

Rachel Lynne Micheletti, LPC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1164286175
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701013290 Issued in VA
Practice address
139 Tilden Ave Ste F
Chesapeake, VA 23320-3973
Phone
(577) 681-6676
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701013290 VA Primary

Addresses

Primary practice location

139 Tilden Ave Ste F
Chesapeake, VA 23320-3973

Mailing address

420 W 36TH St
Norfolk, VA 23508-3206
Phone (577) 681-6676

Other practice location 1

222 W 19th St
Norfolk, VA 23517-2218
Phone (757) 622-7017 ext. 165

Other names 1

  • Rachel Lynne Weber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240830003216 VA Practitioner - Mental Health Counselor 2668911892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701013290VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Body Brave CurrentSince May 19, 2024 Accepting new patients

Locations

139 Tilden Ave
Ste F
Chesapeake, VA 23320
Phone (577) 681-6676

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1164286175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 36TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235083206",
            "telephone_number": "577-681-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 TILDEN AVE STE F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203973",
            "telephone_number": "577-681-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 19th St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172218",
            "country_code": "US",
            "telephone_number": "757-622-7017 x165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELETTI",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WEBER",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.