Individual provider Active NPI

Rachel Robidoux, SUDPT

  • Counselor
  • Chehalis, WA
National Provider Identifier
1578301446
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CO615665424 Issued in WA
Practice address
1956 NE Kresky Ave
Chehalis, WA 98532-2307
Phone
(360) 740-4380
Fax
(360) 740-1877
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CO615665424 WA Primary

Addresses

Primary practice location

1956 NE Kresky Ave
Chehalis, WA 98532-2307

Mailing address

PO Box 59
Chehalis, WA 98532-0059
Phone (360) 740-4380

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

State licenses

LicenseStateTypeSpecialty
CO615665424WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Counseling, LLC CurrentSince Jul 21, 2024 Accepting new patients
New Directions Counseling, LLC CurrentSince Jul 21, 2024 Accepting new patients
Gather Church Past Accepting new patients

Locations

1956 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 740-4380

Organizations & group practices 3

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1578301446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320059",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322307",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIDOUX",
        "first_name": "RACHEL",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO615665424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.