Active NPI
Rachel Donoho, LCSW
- Mental Health Counselor
- Ottawa, IL
National Provider Identifier
1235717539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 149.014496
- Practice address
- 3611 E 1769 Rd
Ottawa, IL 61350-9682 - Phone
- (618) 322-5737
- NPI assigned
- Mar 30, 2021
- Last updated
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149.014496 | IL | Primary |
Addresses
Primary practice location
3611 E 1769 Rd
Ottawa, IL 61350-9682
Mailing address
3611 E 1769 Rd
Ottawa, IL 61350-9682
Phone (618) 322-5737
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
- Opted out of Medicare
- Yes, effective May 20, 2024 through May 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014496 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Archer, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1235717539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 E 1769 RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613509682",
"telephone_number": "618-322-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 E 1769 RD",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613509682",
"telephone_number": "618-322-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHO",
"first_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.014496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
- Dixie Devry, OT
- Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Ottawa)
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Morris PD)
- Donald P. Mammano, D.C., S.C.
- Merrick Donenberg, M.D.
- Lorna Ko Doria, M.D.
- Ami M Dose, APRN, FNP
- Liam Patrick Dougherty, PT, DPT
- Dr Nicholas M Tabor III DPM
- Dr. Hill Chiropractic Clinic, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.