Rachael Gusaas

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1030 County Road E W Ste 220
Shoreview, MN 55126-8153

Phone

(763) 340-2313

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 26, 2024 through Sep 26, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lifelight Counseling Services, LLC

  • Clinic/Center
  • Shoreview, MN
  • NPI 1053085704
  NPD Authorized official
• Centerlife Counseling, LLC

  • Mental Health Counselor
  • Centerville, MN
  • NPI 1417283946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1174996656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 FOREST HILL DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432573",
            "telephone_number": "763-614-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COUNTY ROAD E W STE 220",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268153",
            "telephone_number": "763-340-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSAAS",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lorraine Guillaume Marshall, PH.D
• Heather Gunderson, LICSW
• Jeanne L Gunvalson, M.S., CCC
• Said Hassan Gure
• Anu Gurung
• Lucy Ann Gustafson, DC
• Kaelyn May Haag
• Hirad Hamud
• Kristin M Hansen, PA-C
• Harbor Place Dental Associates, LTD

• Marriage & Family Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.