Individual provider Active NPI

Rachel Sprague, M.ED, LCMHC

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1265041438
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15894 Issued in NC
Practice address
126 N Main St
Kernersville, NC 27284-2878
Phone
(336) 270-9690
NPI assigned
Jul 23, 2020
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 A15894 NC
Mental Health Counselor 101YM0800X 15894 NC Primary

Addresses

Primary practice location

126 N Main St
Kernersville, NC 27284-2878

Mailing address

2718 Liberty Rd
Greensboro, NC 27406-4714
Phone (509) 710-9690

Other practice location 1

2570 Harper Rd
Clemmons, NC 27012-8690
Phone (336) 270-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205003218 NC Practitioner - Mental Health Counselor 0648629469 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
15894NCMDMental Health Counselor
A15894NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Therapeutic Care LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
Apogee Behavioral Medicine PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

114 S Westgate Dr
Ste E
Greensboro, NC 27407
Phone (336) 907-7308

300 S Westgate Dr
Ste A
Greensboro, NC 27407
Phone (336) 844-4684

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1265041438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 LIBERTY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064714",
            "telephone_number": "509-710-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842878",
            "telephone_number": "336-270-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 Harper Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128690",
            "country_code": "US",
            "telephone_number": "336-270-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "RACHEL",
        "credential": "M.ED, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15894",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.