Rachelle Cavicchia, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC014807 Issued in PA

Practice address

210 W Front St Ste 210
Media, PA 19063-3149

Phone

(484) 416-4002

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rachelle Jellison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1295442317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PINECREST RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643310",
            "telephone_number": "610-457-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST STE 210",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633149",
            "telephone_number": "484-416-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Pinecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643310",
            "country_code": "US",
            "telephone_number": "610-457-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVICCHIA",
        "first_name": "RACHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "JELLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine a Gardner
• Ashley Susan Cautillo, MSN CNM
• James E Cautillo, CRNP
• Dana M Cavalcanto, PHYSICIAN ASSISTANT
• Catherine Cavanaugh, DMD
• Bryan Cecchi, DMD
• Dorothy Lynn Celebre, M.A. C.C.C./S.L.P.
• Jeffrey E. Celebre, PH.D.
• Center for Cognitive Behavioral Therapy, Inc.
• Center for Dermatopathology, P.C.

• Mental Health Counselor in Media, PA
• Providers in Media, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.