Rachel E Costello, PH.D, MS, LPCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0500411 Issued in OH

Practice address

1150 W Russell Rd
Sidney, OH 45365-7025

Phone

(727) 205-2077

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

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.

• Am Behavioral Outpatient LLC

  • Adult Mental Health Clinic/Center
  • Huber Heights, OH
  • NPI 1528759651
  NPD Authorized official
• Huber Heights Holdings, LLC

  dba AM Behavioral Huber Heights

  • Community/Behavioral Health Agency
  • Huber Heights, OH
  • NPI 1235980293
  NPD Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1396208492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28059 US HIGHWAY 19 N STE 205",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612620",
            "telephone_number": "727-205-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453657025",
            "telephone_number": "727-205-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450401342",
            "country_code": "US",
            "telephone_number": "513-445-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Seaman Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436162497",
            "country_code": "US",
            "telephone_number": "727-205-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Bellefontaine Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454244009",
            "country_code": "US",
            "telephone_number": "727-205-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D, MS, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0500411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Sidney, OH
• Providers in Sidney, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.