Active NPI
Rachael Ellis
- Addiction (Substance Use Disorder) Counselor
- Gilroy, CA
National Provider Identifier
1629432794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI30250720
- Practice address
- 7600 Eigleberry St
Gilroy, CA 95020-5123 - Phone
- (619) 289-8338
- NPI assigned
- Apr 5, 2016
- Last updated
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 24-QMHS-I-00075 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI30250720 | CA | Primary |
Addresses
Primary practice location
7600 Eigleberry St
Gilroy, CA 95020-5123
Mailing address
120 Birmingham Dr Ste 240a
Cardiff, CA 92007-1757
Phone (619) 289-8338
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI30250720 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 24-QMHS-I-00075 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Benito County | Current | Accepting new patients | |
| County of San Benito Behavioral Health | Current | Accepting new patients | |
| Rikki Rap Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
1131 Community Pkwy
Hollister, CA 95023
Phone (831) 636-4020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Hollister, CA
- NPI 1790525871
-
- Clinic/Center
- Hollister, CA
- NPI 1255461471
-
dba Sobriety Works
- Addiction (Substance Use Disorder) Counselor
- Santa Cruz, CA
- NPI 1245362979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1629432794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BIRMINGHAM DR STE 240A",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920071757",
"telephone_number": "619-289-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 EIGLEBERRY ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950205123",
"telephone_number": "619-289-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "RACHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "24-QMHS-I-00075",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI30250720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.