Individual provider Active NPI

Rachel Victoria Lampe, MA, LPC

  • Counselor
  • Peoria, IL
National Provider Identifier
1235973256
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.020298 Issued in IL
Practice address
7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290
Phone
(309) 713-1485
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.020298 IL Primary

Addresses

Primary practice location

7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290

Mailing address

PO Box 10286
Peoria, IL 61612-0286
Phone (309) 713-1485

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 Arts

State licenses

LicenseStateTypeSpecialty
178.020298ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Therapy PLLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

7210 N Villa Lake Dr
Ste C
Peoria, IL 61614
Phone (309) 713-1485

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1235973256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10286",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616120286",
            "telephone_number": "309-713-1485",
            "fax_number": "309-419-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N VILLA LAKE DR STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148290",
            "telephone_number": "309-713-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPE",
        "first_name": "RACHEL",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.020298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.