Individual provider Active NPI

Rachel Terrell, LCPC

  • Professional Counselor
  • Rockville, MD
National Provider Identifier
1598434599
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13871 Issued in MD
Practice address
6000 Executive Blvd Ste 602
Rockville, MD 20852-3820
Phone
(240) 551-0725
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC13871 MD Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 602
Rockville, MD 20852-3820

Mailing address

14530 Jones LN
Gaithersburg, MD 20878-3733
Phone (352) 682-8289

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
LC13871MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Mental Health and Consulting Professional CurrentSince Jun 30, 2024 Accepting new patients
Life Change Therapy Now LLC PastSince Sep 9, 2022 Accepting new patients

Locations

6000 Executive Blvd
Ste 602
Rockville, MD 20852
Phone (301) 770-6301

Organizations & group practices 2

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1598434599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 JONES LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783733",
            "telephone_number": "352-682-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523820",
            "telephone_number": "240-551-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "RACHEL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

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