Mysti Rachelle Rainwater, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-12651 Issued in AZ

Practice address

11011 S 48TH St
Suite 101
Phoenix, AZ 85044-1779

Phone

(480) 223-8263

Fax

(480) 632-9639

NPI assigned

May 18, 2007

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mysti Rachelle Vanaken Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Ahwatukee Psychology LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1326608290
  Medicare reassignment NPD Authorized official
• Center for Progressive Therapies LLC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1144786245
  NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1538377932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 S 48TH ST",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441779",
            "telephone_number": "480-223-8263",
            "fax_number": "480-632-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 S 48TH ST",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441779",
            "telephone_number": "480-223-8263",
            "fax_number": "480-632-9639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Chandler Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246162",
            "country_code": "US",
            "telephone_number": "480-781-2631",
            "fax_number": "480-247-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "MYSTI",
        "middle_name": "RACHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYSTI",
            "last_name": "VANAKEN",
            "middle_name": "RACHELLE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Rainey, BA, BHT
• Zaria Rainey
• Marcus T Rainge, MARCUS RAINGE
• Steven Rainge
• Amanda Carroll Rainwater, MD
• Samantha Rainwater, NP
• Raise 'Em Up LLC
• Raise and Revive Counseling Services
• Raising Special Kids
• Ally Yael Raissen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.