Individual provider Active NPI

Rachel Ellis, LCPC

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1386284958
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-9350 Issued in ID
Practice address
250 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2974
Phone
(208) 254-1881
Fax
(208) 712-1653
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-9350 ID Primary

Addresses

Primary practice location

250 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2974

Mailing address

250 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2974
Phone (208) 254-1881

Other names 1

  • Rachel Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260305003282 ID Practitioner - Mental Health Counselor 8820570062 Practice locations: Coeur D Alene, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Lippert Dr W
Apt I145
Port Orchard, WA 98366-2068

200 Lippert Dr W Apt
I145
Port Orchard, WA 98366-2068

250 Northwest Blvd
Suite 101
Coeur D Alene, ID 83814-2974
Phone (208) 254-1881

PO Box
Suite 1138
Coeur D Alene, ID 83816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-9350IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1386284958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142974",
            "telephone_number": "208-254-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142974",
            "telephone_number": "208-254-1881",
            "fax_number": "208-712-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "RACHEL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "JONES",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.