Individual provider Active NPI

Rachael Shpak, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1326531500
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15004 Issued in DC
Practice address
2307 Martin Luther King Jr Ave SE
Washington, DC 20020-5813
Phone
(120) 252-5485
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 PRC15004 DC Primary

Addresses

Primary practice location

2307 Martin Luther King Jr Ave SE
Washington, DC 20020-5813

Mailing address

1701 16TH St NW Apt 626
Washington, DC 20009-3155
Phone (919) 667-3554

Other practice location 1

4017 Minnesota Ave NE
Washington, DC 20019-3541
Phone (202) 388-9202

Other practice location 2

1221 Taylor St NW
Washington, DC 20011-5617
Phone (202) 464-9200

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

LicenseStateTypeSpecialty
PRC15004DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner City Family Services LLC CurrentSince Jul 23, 2023 Accepting new patients
Inner City Family Services LLC CurrentSince Jul 23, 2023 Accepting new patients

Locations

2307 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 525-4855

Organizations & group practices 2

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1326531500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 16TH ST NW APT 626",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093155",
            "telephone_number": "919-667-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205813",
            "telephone_number": "120-252-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4017 Minnesota Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193541",
            "country_code": "US",
            "telephone_number": "202-388-9202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Taylor St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115617",
            "country_code": "US",
            "telephone_number": "202-464-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHPAK",
        "first_name": "RACHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.