Individual provider Active NPI

Rachel Bentley, LPC

  • Professional Counselor
  • East Lansing, MI
National Provider Identifier
1417360215
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014192 Issued in MI
Practice address
2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Phone
(517) 230-5695
NPI assigned
Jun 9, 2014
Last updated
Jul 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional Counselor 101YP2500X 6401014192 MI Primary

Addresses

Primary practice location

2970 E Lake Lansing Rd
East Lansing, MI 48823-7415

Mailing address

5966 Harper Rd
Holt, MI 48842-8618
Phone (810) 513-4976

Other names 1

  • Rachel Bridgett Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Counseling Community Services and Clinical Supervision LLC Counselor CurrentSince Jul 14, 2024 Accepting new patients
Self Led Therapy LLC CurrentSince Jul 14, 2024 Accepting new patients

Locations

2970 E Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 230-5695

2720 Alpha Access St
Ste D
Lansing, MI 48910
Phone (269) 425-9045

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1417360215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 HARPER RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488428618",
            "telephone_number": "810-513-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 E LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237415",
            "telephone_number": "517-230-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "RACHEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BRIDGETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.