Rachael Mary Edelman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

80958 Issued in TX

Practice address

202 Reynolds Ave
League City, TX 77573-4159

Phone

(361) 880-0542

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Change of Mind Counseling PLLC

  • Counseling Psychologist
  • League City, TX
  • NPI 1023728789
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1437762721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 PEBBLE BEACH DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735838",
            "telephone_number": "361-880-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 REYNOLDS AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734159",
            "telephone_number": "361-880-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "RACHAEL",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey W Duty, LPC
• Mohammed Dwelee, DMD
• Anna Jeanne Dyer, M.A., LPC
• Stephen Wade Earnhart, CRNA
• Afra Ebrahimi Tari
• Tara Michelle Edmondson, LPC
• Alyssa Edwards, DDS
• Josephine Edwards, APRN, FNP-C
• Tashonda Edwards, MSW
• Onyinyechi Egbukwu, FNP

• Mental Health Counselor in League City, TX
• Providers in League City, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.