Individual provider Active NPI

Jeremiah Rice, MS, LMFTA, MDIV

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1215749064
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MG61623273 Issued in WA
Practice address
1607 Officers Row # E3
Vancouver, WA 98661-3862
Phone
(971) 361-6601
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4681 MN
Mental Health Counselor 101YM0800X MG61623273 WA Primary

Addresses

Primary practice location

1607 Officers Row # E3
Vancouver, WA 98661-3862

Mailing address

1607 Officers Row # E3
Vancouver, WA 98661-3862
Phone (971) 361-6601

Other practice location 1

7251 Excelsior Rd
Baxter, MN 56425-8477
Phone (218) 454-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MG61623273WAMDMental Health Counselor
4681MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Country Counseling PLLC PastSince Aug 30, 2016 Accepting new patients

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1215749064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 OFFICERS ROW # E3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613862",
            "telephone_number": "971-361-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 OFFICERS ROW # E3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613862",
            "telephone_number": "971-361-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7251 Excelsior Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258477",
            "country_code": "US",
            "telephone_number": "218-454-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "JEREMIAH",
        "credential": "MS, LMFTA, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4681",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG61623273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.