Individual provider Active NPI

Rachel Davis, LMHC

  • Mental Health Counselor
  • Sammamish, WA
National Provider Identifier
1487006334
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60995745 Issued in WA
Practice address
1705 E Beaver Lake Dr SE
Sammamish, WA 98075-7904
Phone
(425) 245-5025
NPI assigned
Jul 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60995745 WA Primary

Addresses

Primary practice location

1705 E Beaver Lake Dr SE
Sammamish, WA 98075-7904

Mailing address

PO Box 355
Fall City, WA 98024-0355
Phone (425) 245-5025

Other practice location 1

7902 168th Ave NE Ste 101
Redmond, WA 98052-4445
Phone (425) 900-5735

Other practice location 2

2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 837-2256 ext. 72256

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holomind Therapy PLLC Mental Health CurrentSince Jan 21, 2024 Accepting new patients
Lightheart Associates PS CurrentSince Jan 1, 2024 Accepting new patients
Dr. Kathleen Worsley PastSince Jan 1, 2024 Accepting new patients

Locations

8301 161st Ave NE
Ste 202
Redmond, WA 98052
Phone (425) 658-2253

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

Organizations & group practices 3

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": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1487006334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980240355",
            "telephone_number": "425-245-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E BEAVER LAKE DR SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757904",
            "telephone_number": "425-245-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7902 168th Ave NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980524445",
            "country_code": "US",
            "telephone_number": "425-900-5735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 The Alameda",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951261136",
            "country_code": "US",
            "telephone_number": "408-837-2256 x72256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RACHEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60995745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

Verify at the official NPI Registry.