Individual provider Active NPI

Rhodel Christine Kabah, MA, LCPC

  • Pastoral Counselor
  • Riverside, CA
National Provider Identifier
1528576261
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
19942 Issued in CA
Practice address
3600 Lime St # 216-103a
Riverside, CA 92501-2971
Phone
(877) 712-5220
Fax
(844) 300-5483
NPI assigned
Jan 16, 2018
Reactivated
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 19942 CA Primary

Addresses

Primary practice location

3600 Lime St # 216-103a
Riverside, CA 92501-2971

Mailing address

1968 S Coast Hwy # 803
Laguna Beach, CA 92651-3681
Phone (210) 390-6929

Other identifiers 1

IdentifierTypeStateIssuer
14178089OtherCAQH PROVIEW

Other names 1

  • Rhodel Christine Swaniker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19942CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rhoka LLC Pastoral Current Accepting new patients

Locations

1968 S Coast Hwy
Laguna Beach, CA 92651
Phone (619) 547-1856

5805 Callaghan Rd
Ste 108
San Antonio, TX 78228

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1528576261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 803",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "210-390-6929",
            "fax_number": "844-300-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIME ST # 216-103A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012971",
            "telephone_number": "877-712-5220",
            "fax_number": "844-300-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAH",
        "first_name": "RHODEL",
        "middle_name": "CHRISTINE",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "deactivation_date": "2020-11-13",
        "reactivation_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "19942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIEW",
            "identifier": "14178089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHODEL",
            "last_name": "SWANIKER",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.