Active NPI
Jennifer M Rahde
- Mental Health Counselor
- Alliance, OH
National Provider Identifier
1275947046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1300202
- Practice address
- 1207 W State St
Suite M
Alliance, OH 44601-4686 - Phone
- (330) 821-8407
- Fax
- (330) 821-8506
- NPI assigned
- Jun 19, 2014
- Last updated
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1300202 | OH | Primary |
Addresses
Primary practice location
1207 W State St
Suite M
Alliance, OH 44601-4686
Mailing address
1207 W State St
Suite M
Alliance, OH 44601-4686
Phone (330) 821-8407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098331 | Medicaid | OH |
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 |
|---|---|---|---|
| 1300202 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1275947046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 W STATE ST",
"address_2": "SUITE M",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014686",
"telephone_number": "330-821-8407",
"fax_number": "330-821-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 W STATE ST",
"address_2": "SUITE M",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446014686",
"telephone_number": "330-821-8407",
"fax_number": "330-821-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHDE",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "1300202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098331",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.