Active NPI
Rachel Benavidez, LMFT
- Marriage & Family Therapist
- Spokane Valley, WA
National Provider Identifier
1194305268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139106
- Practice address
- 4619 S Raymond Rd
Spokane Valley, WA 99206-9272 - Phone
- (747) 334-2577
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 124795 | CA | |
| Marriage & Family Therapist | 106H00000X | 139106 | CA | Primary |
Addresses
Primary practice location
4619 S Raymond Rd
Spokane Valley, WA 99206-9272
Mailing address
PO Box
Los Angeles, CA 90074-9399
Phone (747) 334-2577
Other practice location 1
3777 Palm Ave
Lynwood, CA 90262-5102
Phone (747) 334-2577
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7667 | Other | CA | MEDICAL |
| 7184 | Other | CA | MEDICAL |
| 7708 | Other | CA | MEDICAL |
| 7368 | Other | CA | MEDICAL |
Other names 1
- Rachel Sturgeon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124795 | CA | MD | Mental Health Counselor |
| 139106 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
| Institute for the Redesign of Learning | Mental Health | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Commerce, CA
- NPI 1003036641
Mental Health
-
- Marriage & Family Therapist
- South Pasadena, CA
- NPI 1124212295
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1194305268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749399",
"telephone_number": "747-334-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 S RAYMOND RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992069272",
"telephone_number": "747-334-2577"
}
],
"practiceLocations": [
{
"address_1": "3777 Palm Ave",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "902625102",
"country_code": "US",
"telephone_number": "747-334-2577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENAVIDEZ",
"first_name": "RACHEL",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "124795",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7708",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7368",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "STURGEON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.