Individual provider Active NPI

Rachel Lindemann, LPC, LADC

  • Professional Counselor
  • Wetumka, OK
National Provider Identifier
1497779557
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3218 Issued in OK
Practice address
109 S Main St
Wetumka, OK 74883-4015
Phone
(405) 452-5400
Fax
(405) 452-3000
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 107 OK
Professional Counselor 101YP2500X 3218 OK Primary

Addresses

Primary practice location

109 S Main St
Wetumka, OK 74883-4015

Mailing address

6950 E 143
Sasakwa, OK 74867-7603

Other identifiers 1

IdentifierTypeStateIssuer
300522336OtherOKMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130000161 OK Practitioner - Mental Health Counselor 1658724331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Central Oklahoma Family Health Center, Inc.Group PAC ID 3779643994, 10 clinicians

Practice addresses (Care Compare)

109 S Main St
Wetumka, OK 74883-4015
Phone (405) 452-5400

207 W 1St St
Wewoka, OK 74884-2103
Phone (405) 257-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3218OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Oklahoma Family Health Center, Inc. Current Accepting new patients
East Central Oklahoma Family Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
East Central Oklahoma Family Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

104 E Shurden Industrial Blvd
Henryetta, OK 74437
Phone (918) 652-9614

1102 W Main St
Henryetta, OK 74437
Phone (918) 652-9614

109 S Main St
Wetumka, OK 74883
Phone (405) 452-5400

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1497779557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 E 143",
            "city": "SASAKWA",
            "state": "OK",
            "postal_code": "748677603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748834015",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "107",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "300522336",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumka, OK

Sources for this page

Verify at the official NPI Registry.