Individual provider Active NPI

Rachel L Jecklin, LPC

  • Mental Health Counselor
  • Harrisonburg, VA
National Provider Identifier
1487287900
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011712 Issued in VA
Practice address
250 E Elizabeth St Ste 111
Harrisonburg, VA 22802-4159
Phone
(540) 908-3464
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704007695 VA
Mental Health Counselor 101YM0800X 0701011712 VA Primary

Addresses

Primary practice location

250 E Elizabeth St Ste 111
Harrisonburg, VA 22802-4159

Mailing address

250 E Elizabeth St Ste 111
Harrisonburg, VA 22802-4159
Phone (540) 908-3464

Other practice location 1

139 N Liberty St Ste 202A
Harrisonburg, VA 22802-3859
Phone (540) 208-1877

Other names 1

  • Rachel L Eanes 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701011712VAMDMental Health Counselor
0704007695VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1487287900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E ELIZABETH ST STE 111",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024159",
            "telephone_number": "540-908-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E ELIZABETH ST STE 111",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024159",
            "telephone_number": "540-908-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 N Liberty St Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228023859",
            "country_code": "US",
            "telephone_number": "540-208-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JECKLIN",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704007695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "EANES",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

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