Individual provider Active NPI

Rachel Joy Rockey, M.S, LPC

  • Professional Counselor
  • Scappoose, OR
National Provider Identifier
1558550335
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5913 Issued in OR
Practice address
26545 Gunners Lake Mainline Rd
Scappoose, OR 97056-8200
Phone
(503) 515-7966
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X C5913 OR Primary

Addresses

Primary practice location

26545 Gunners Lake Mainline Rd
Scappoose, OR 97056-8200

Mailing address

26545 Gunners Lake Mainline Rd
Scappoose, OR 97056-8200
Phone (503) 515-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20240308000627 OR Practitioner - Mental Health Counselor 4880030147 Practice locations: Portland, OR; Scappoose, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26545 Gunners Lake Mainline Rd
Scappoose, OR 97056-8200
Phone (503) 515-7966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C5913ORMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1558550335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26545 GUNNERS LAKE MAINLINE RD",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970568200",
            "telephone_number": "503-515-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26545 GUNNERS LAKE MAINLINE RD",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970568200",
            "telephone_number": "503-515-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEY",
        "first_name": "RACHEL",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "M.S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

Verify at the official NPI Registry.