Active NPI
Rachel Lindemann, LPC, LADC
- Professional Counselor
- Wetumka, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3218
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300522336 | Other | OK | MEDICARE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3218 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Oklahoma Family Health Center, Inc. | Current | Accepting new patients | |
| East Central Oklahoma Family Health Center, Inc. | Current | Accepting new patients | |
| East Central Oklahoma Family Health Center, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Wetumka, OK
- NPI 1316196546
-
- Federally Qualified Health Center (FQHC)
- Wewoka, OK
- NPI 1093184145
-
- Federally Qualified Health Center (FQHC)
- Henryetta, OK
- NPI 1639636657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.