Individual provider Active NPI

Rachel Harrison, LCPC, NCC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1437227477
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1528 Issued in MD
Practice address
124 N Court St
Frederick, MD 21701-6614
Phone
(301) 304-7108
Fax
(301) 732-7336
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC0011086 DE
Professional Counselor 101YP2500X PC014875 PA
Professional Counselor 101YP2500X LPC0011146 CO
Professional Counselor 101YP2500X LC1528 MD Primary

Addresses

Primary practice location

124 N Court St
Frederick, MD 21701-6614

Mailing address

124 N Court St
Frederick, MD 21701-6614
Phone (301) 304-7108

Other identifiers 1

IdentifierTypeStateIssuer
401547900MedicaidMD

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
LPC0011146COMDProfessional Counselor
PC0011086DEMDProfessional Counselor
LC1528MDMDProfessional Counselor
PC014875PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Specialists of Maryland, LLC Professional Current Accepting new patients

Locations

124 N Court St
Frederick, MD 21701
Phone (301) 304-7108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1437227477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108",
            "fax_number": "301-732-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108",
            "fax_number": "301-732-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "RACHEL",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0011086",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014875",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0011146",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401547900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.