Individual provider Active NPI

Rachel Koontz, RCSWI

  • Clinical Social Worker
  • Ormond Beach, FL
National Provider Identifier
1356034235
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25889 Issued in FL
Practice address
1360 N US Highway 1 Ste 107
Ormond Beach, FL 32174-8901
Phone
(407) 743-6868
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW25889 FL Primary

Addresses

Primary practice location

1360 N US Highway 1 Ste 107
Ormond Beach, FL 32174-8901

Mailing address

1095 6TH St
Daytona Beach, FL 32117-4168
Phone (386) 453-3581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623003579 FL Practitioner - Clinical Social Worker 9436622206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW25889FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Violett Counseling and Consulting Services LLC Clinical CurrentSince Jun 4, 2023 Accepting new patients

Locations

1110 Douglas Ave
Ste 2040
Altamonte Springs, FL 32714
Phone (407) 378-5832

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1356034235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 6TH ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174168",
            "telephone_number": "386-453-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N US HIGHWAY 1 STE 107",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748901",
            "telephone_number": "407-743-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "RACHEL",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.