Individual provider Active NPI

Rachel M Vohnoutka, MS LPC SAC

  • Mental Health Counselor
  • New Berlin, WI
National Provider Identifier
1275949729
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6143-125 Issued in WI
Practice address
12417 W Honey LN
New Berlin, WI 53151-2644
Phone
(414) 329-4673
NPI assigned
Jul 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16164-131 WI
Mental Health Counselor 101YM0800X 6143-125 WI Primary

Addresses

Primary practice location

12417 W Honey LN
New Berlin, WI 53151-2644

Mailing address

12417 W Honey LN
New Berlin, WI 53151-2644

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16164-131WIMDAddiction (Substance Use Disorder) Counselor
6143-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
212 Psychotherapy LLC Past Accepting new patients
New Beginnings Mental Health Clinic LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachelvohnoutka@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1275949729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 W HONEY LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 W HONEY LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512644",
            "telephone_number": "414-329-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOHNOUTKA",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "MS LPC SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-05",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16164-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6143-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.