Individual provider Active NPI

Rachael Christine Roche

  • Counselor
  • Silverdale, WA
National Provider Identifier
1407197619
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60339759 Issued in WA
Practice address
3500 NW Bucklin Hill Rd
Building a, Ste 101
Silverdale, WA 98383-8503
Phone
(360) 337-2222
NPI assigned
Mar 13, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60339759 WA Primary

Addresses

Primary practice location

3500 NW Bucklin Hill Rd
Building a, Ste 101
Silverdale, WA 98383-8503

Mailing address

3500 NW Bucklin Hill Rd
Building a, Ste 101
Silverdale, WA 98383-8503
Phone (360) 337-2222

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
CG60339759WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Washington Past Accepting new patients
Olympic Peninsula Autism Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1407197619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NW BUCKLIN HILL RD",
            "address_2": "BUILDING A, STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838503",
            "telephone_number": "360-337-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NW BUCKLIN HILL RD",
            "address_2": "BUILDING A, STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838503",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "RACHAEL",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60339759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.