Individual provider Active NPI

Rachael Nelson

  • Addiction (Substance Use Disorder) Counselor
  • Ishpeming, MI
National Provider Identifier
1255084513
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
97 S 4TH St Ste a
Ishpeming, MI 49849-2168
Phone
(906) 485-2347
NPI assigned
Jan 27, 2022
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

97 S 4TH St Ste a
Ishpeming, MI 49849-2168

Mailing address

97 S 4TH St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other practice location 1

920 W Water St Ste 1
Hancock, MI 49930-1950
Phone (906) 482-7710

Other practice location 2

97 S 4th St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699 ext. 1021

Other practice location 3

1115 S Hemlock St Ste 1
Iron Mountain, MI 49801-3800
Phone (906) 774-2561

Other practice location 4

220 Roosevelt St Ste 2
Ironwood, MI 49938-1737
Phone (906) 364-7506

Other practice location 5

1101 Ludington St Ste H
Escanaba, MI 49829-3565
Phone (906) 789-3528

Other practice location 6

1009 W Ridge St Ste C
Marquette, MI 49855-3997
Phone (906) 228-6545

Other practice location 7

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 291-3400

Other practice location 8

2655 Ashmun St
Sault Sainte Marie, MI 49783-3711
Phone (906) 632-9809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260420002327 MI Practitioner - Psychologist Billing Independently 6305312075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1014 N 3Rd St
Marquette, MI 49855-3510

1320 N Jossman Rd
Ortonville, MI 48462-9077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Nelson Counseling LLC CurrentSince Feb 10, 2026 Accepting new patients
Great Lakes Recovery Centers PastSince Feb 6, 2022 Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients

Locations

1014 N 3rd St
Marquette, MI 49855
Phone (906) 228-8081

Organizations & group practices 3

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1255084513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE A",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-485-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 W Water St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "499301950",
            "country_code": "US",
            "telephone_number": "906-482-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 S 4th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492168",
            "country_code": "US",
            "telephone_number": "906-228-9699 x1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Hemlock St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013800",
            "country_code": "US",
            "telephone_number": "906-774-2561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Roosevelt St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499381737",
            "country_code": "US",
            "telephone_number": "906-364-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Ludington St Ste H",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293565",
            "country_code": "US",
            "telephone_number": "906-789-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 W Ridge St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498553997",
            "country_code": "US",
            "telephone_number": "906-228-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sandpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621406",
            "country_code": "US",
            "telephone_number": "906-291-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Ashmun St",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497833711",
            "country_code": "US",
            "telephone_number": "906-632-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.