Individual provider Active NPI

Rachel Tunis, MS,LPC,NCC

  • Professional Counselor
  • Clarks Summit, PA
National Provider Identifier
1275189581
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013944 Issued in PA
Practice address
106 Stone Ave
Clarks Summit, PA 18411-1538
Phone
(570) 904-7363
Fax
(570) 384-4079
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013944 PA Primary

Addresses

Primary practice location

106 Stone Ave
Clarks Summit, PA 18411-1538

Mailing address

106 Stone Ave
Clarks Summit, PA 18411-1538
Phone (570) 904-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240226002442 PA Practitioner - Mental Health Counselor 3173968526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thaxton Holistic Wellness CenterGroup PAC ID 2769818418, 22 clinicians

Practice addresses (Care Compare)

106 Stone Ave
Clarks Summit, PA 18411-1538
Phone (570) 904-7363

228 S Main Ave
Scranton, PA 18504-2545
Phone (570) 904-7363

254 Daleville Hwy
Covington Township, PA 18444-7951
Phone (570) 904-7363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC013944PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thaxton Holistic Wellness Center Professional CurrentSince Feb 19, 2024 Accepting new patients
The Burke Center, Inc. PastSince Jan 26, 2022 Accepting new patients

Locations

2324 Boulevard Ave
Scranton, PA 18509
Phone (570) 343-2244

228 S Main Ave
Scranton, PA 18504
Phone (570) 468-5191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1275189581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STONE AVE",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111538",
            "telephone_number": "570-904-7363",
            "fax_number": "570-384-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STONE AVE",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111538",
            "telephone_number": "570-904-7363",
            "fax_number": "570-384-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNIS",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MS,LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.