Active NPI
Rachel L Jecklin, LPC
- Mental Health Counselor
- Harrisonburg, VA
National Provider Identifier
1487287900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701011712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011712 | VA | MD | Mental Health Counselor |
| 0704007695 | VA | MD | Mental 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.