Rachel Ann Grillenbeck, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2404 Ellis St Ste 4
Venus, TX 76084-3392

Phone

(817) 783-0218

NPI assigned

Mar 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Health System of Texas

  dba Children's Medical Center of Dallas

  • Children's Hospital
  • Dallas, TX
  • NPI 1194743013
  Medicare reassignment
• Buchanan Synergy Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • Venus, TX
  • NPI 1649908260
  NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1518660943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 WESTBROOK CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528833",
            "telephone_number": "972-567-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 ELLIS ST STE 4",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760843392",
            "telephone_number": "817-783-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLENBECK",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "78758",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gate City Medical Equipment Inc (Rhema Medical)
• Oluwatobi Gbadamosi
• Gbadeaux LLC
• Jazmin Graham, LCSW
• Shermetra N Griffin
• Amiya Renee Guynes
• Hear Our Voices LLC
• Tracy Gail Spurgin Hernandez, MS-CCC/SLP
• Hometreat Healthcare LLC
• Joyce Howard, RN

• Professional Counselor in Venus, TX
• Providers in Venus, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.

Verify at the official NPI Registry.