Individual provider Active NPI

Rachel Dawson, M.A.

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1497314587
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19525 Issued in FL
Practice address
1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105
Phone
(386) 449-8600
Fax
(833) 559-1151
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 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 19525 FL Primary

Addresses

Primary practice location

1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105

Mailing address

1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105
Phone (386) 449-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19525FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanvista Counseling Associates, LLC Mental Health Past Accepting new patients

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1497314587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "386-449-8600",
            "fax_number": "833-559-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "386-449-8600",
            "fax_number": "833-559-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "RACHEL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.