Active NPI
Rachel Gabrielle Packer, LPCC
- Professional Counselor
- San Diego, CA
National Provider Identifier
1275074379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4042
- Practice address
- 3760 Herman Ave Apt 6
San Diego, CA 92104-3749 - Phone
- (856) 979-6733
- NPI assigned
- Mar 9, 2017
- Last updated
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4042 | CA | Primary |
Addresses
Primary practice location
3760 Herman Ave Apt 6
San Diego, CA 92104-3749
Mailing address
PO Box 501991
San Diego, CA 92150-1991
Phone (856) 979-6733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4042 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1275074379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501991",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921501991",
"telephone_number": "856-979-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 HERMAN AVE APT 6",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921043749",
"telephone_number": "856-979-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKER",
"first_name": "RACHEL",
"middle_name": "GABRIELLE",
"name_prefix": "Miss",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "4042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.