Active NPI
Rachel A. Gerken, LPC
- Mental Health Counselor
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4244
- Practice address
- 230 NE 6TH St
Bend, OR 97701-5103 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Oct 21, 2008
- Last updated
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00009572 | WA | |
| Mental Health Counselor | 101YM0800X | C4244 | OR | Primary |
| Professional Counselor | 101YP2500X | C4244 | OR |
Addresses
Primary practice location
230 NE 6TH St
Bend, OR 97701-5103
Mailing address
600 SW Columbia St
Suite 6210
Bend, OR 97702-1099
Phone (541) 383-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500712379 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2065 NE Tucson Way
Apt 110
Bend, OR 97701-5182
Phone (541) 383-3005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4244 | OR | MD | Mental Health Counselor |
| LH00009572 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients |
Locations
2065 NE Tucson Way
Apt 110
Bend, OR 97701
Phone (541) 373-3005
600 SW Columbia St
Ste 6150
Bend, OR 97702
600 SW Columbia St
Ste 6210
Bend, OR 97702
375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Bend, OR
- NPI 1164820270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1225280316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW COLUMBIA ST",
"address_2": "SUITE 6210",
"city": "BEND",
"state": "OR",
"postal_code": "977021099",
"telephone_number": "541-383-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NE 6TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977015103",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKEN",
"first_name": "RACHEL",
"middle_name": "A.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009572",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4244",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4244",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500712379",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.