Rachel Sullivan Tieslau, MA, MS, RDN, LD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05283 Issued in AL

Practice address

2327 Pansy St SW
Huntsville, AL 35801-3804

Phone

(256) 224-1665

Fax

(833) 629-8753

NPI assigned

Aug 22, 2018

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 Jun 13, 2024 through Jun 13, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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.

• Rachel Tieslau LLC

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1871336438
  NPD Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1215418868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 WILLIS RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013804",
            "telephone_number": "256-224-1665",
            "fax_number": "833-629-8753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Old Highway 431",
            "address_purpose": "LOCATION",
            "city": "Owens Cross Roads",
            "state": "AL",
            "postal_code": "35763",
            "country_code": "US",
            "telephone_number": "256-653-9905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIESLAU",
        "first_name": "RACHEL",
        "middle_name": "SULLIVAN",
        "credential": "MA, MS, RDN, LD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2683",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Tibbs, D.P.M.
• Ruvimbo Michelle Ticharwa
• Darriana Tichenor
• Faith Kristen Tidmore
• Lauren Blair Tidwell, PA-C
• David P Tietjen, MD
• Wilhelm Tietke, MD
• Sara Renee Tigner
• Tanya Ree Tilford
• Glenn W Tillery, MD

• Mental Health Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.