Individual provider Active NPI

Rachel Ulbricht-Montague, LCSW

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1619982154
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904000499 Issued in VA
Practice address
2217 Princess Anne St
B7
Fredericksburg, VA 22401-3353
Phone
(504) 899-6888
Fax
(504) 899-6288
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904000499 VA Primary

Addresses

Primary practice location

2217 Princess Anne St
B7
Fredericksburg, VA 22401-3353

Mailing address

2217 Princess Anne St
B7
Fredericksburg, VA 22401-3353
Phone (504) 899-6888

Other identifiers 1

IdentifierTypeStateIssuer
010237912MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904000499VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1619982154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "B7",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "504-899-6888",
            "fax_number": "504-899-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "B7",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "504-899-6888",
            "fax_number": "504-899-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULBRICHT-MONTAGUE",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904000499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010237912",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.