NPIMap

Organization Active NPI

Rae Ann Bartels LPC Lac LLC

  • Professional Counselor
  • Rifle, CO
National Provider Identifier
1306446505
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RAE ANN BARTELS LPC LAC LLC
Practice address
101 E 3Rd St Ste 209
Rifle, CO 81650-2317
Phone
(970) 948-5322
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Rae Ann Bartels, MA, LPCNPI 1578884359
Title
Owner
Phone
(970) 948-5322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

101 E 3Rd St Ste 209
Rifle, CO 81650-2317

Mailing address

17 Bryan Loop
Parachute, CO 81635-7708
Phone (970) 948-5322

National Provider Directory

National Provider Directory
Tax ID family
Rae Ann Bartels LPC Lac LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 E 3rd St
Ste 209
Rifle, CO 81650
Phone (970) 948-5322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1306446505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRYAN LOOP",
            "city": "PARACHUTE",
            "state": "CO",
            "postal_code": "816357708",
            "telephone_number": "970-948-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 3RD ST STE 209",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502317",
            "telephone_number": "970-948-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE ANN BARTELS LPC LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "BARTELS",
        "authorized_official_first_name": "RAE ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-948-5322",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.