Active NPI
Rachel Burchfield
- Mental Health Counselor
- Brandon, MS
National Provider Identifier
1356906465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 613 Marquette Rd
Brandon, MS 39042-3038 - Phone
- (601) 825-8800
- NPI assigned
- May 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
613 Marquette Rd
Brandon, MS 39042-3038
Mailing address
PO Box 88
Brandon, MS 39043-0088
Phone (601) 824-1692
Other practice location 1
1109 Carter St Ste 10
Vidalia, LA 71373-3227
Phone (318) 336-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1561444 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1356906465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "BRANDON",
"state": "MS",
"postal_code": "390430088",
"telephone_number": "601-824-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 MARQUETTE RD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423038",
"telephone_number": "601-825-8800"
}
],
"practiceLocations": [
{
"address_1": "1109 Carter St Ste 10",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "LA",
"postal_code": "713733227",
"country_code": "US",
"telephone_number": "318-336-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCHFIELD",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1561444",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.