Individual provider Active NPI

Rachel Anne Eagan, LPC-S

  • Professional Counselor
  • Levelland, TX
National Provider Identifier
1275901183
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70791 Issued in TX
Practice address
1000 FM 300
Levelland, TX 79336-6235
Phone
(806) 894-7842
NPI assigned
Sep 9, 2015
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 70791 TX Primary

Addresses

Primary practice location

1000 FM 300
Levelland, TX 79336-6235

Mailing address

1000 FM 300
Levelland, TX 79336-6235
Phone (806) 894-7842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240105002826 TX Practitioner - Mental Health Counselor 5890146625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 W 11TH St
Big Spring, TX 79720-2913
Phone (432) 517-4557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70791TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Plains Rural Health Services, Inc. Current Accepting new patients
South Plains Rural Health Services, Inc. CurrentSince Nov 18, 2024 Accepting new patients
South Plains Rural Health Services, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Family Service Center of Galveston County, Texas Mental Health PastSince Jan 22, 2012 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

1502 N Avenue K
Lamesa, TX 79331
Phone (806) 872-3069

1000 FM 300
Levelland, TX 79336
Phone (806) 894-7842

Organizations & group practices 5

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1275901183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FM 300",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366235",
            "telephone_number": "806-894-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levelland, TX

Sources for this page

Verify at the official NPI Registry.