Rachael Harkins, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013413 Issued in PA

Practice address

13001 N 55TH Dr
Glendale, AZ 85304-1224

Phone

(215) 873-9189

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Personal Evolution LLC

  dba Fishtown Wellness Center

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1598260630
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1518538982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 N 55TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041224",
            "telephone_number": "215-873-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 N 55TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041224",
            "telephone_number": "215-873-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Belgrade St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191252621",
            "country_code": "US",
            "telephone_number": "215-873-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "RACHAEL",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20468",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018535",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Harding
• Suzanne Harding, RPH
• Neva Josephina Hardy, RN, BSN
• Olivia Hardy
• Lykia Hargrove-Bolden
• Brittany Harley
• Harmony Alliance LLC
• Garret F Harnett, DDS, MS, PC
• Gail Frances Harper, MA LPC
• Donald Harraghy, OD

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.