Individual provider Active NPI

Rachel Fluker, MA, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1639797400
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72537 Issued in TX
Practice address
4305 Macarthur Ave
Dallas, TX 75209-6511
Phone
(214) 526-4535
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 72537 TX Primary

Addresses

Primary practice location

4305 Macarthur Ave
Dallas, TX 75209-6511

Mailing address

2800 Cherokee LN
Waco, TX 76712-8399
Phone (713) 724-1696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240205004421 TX Practitioner - Mental Health Counselor 3779926944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72537TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Integrative Counseling and Psychology CurrentSince Jan 1, 2024 Accepting new patients

Locations

4305 MacArthur Ave
Dallas, TX 75209

4525 Lemmon Ave
Ste 200
Dallas, TX 75219

2520 Oates Dr
Mesquite, TX 75150

2911 Herring Ave
Ste 212
Waco, TX 76708
Phone (254) 755-4444

Organizations & group practices 1

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1639797400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CHEROKEE LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128399",
            "telephone_number": "713-724-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 MACARTHUR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096511",
            "telephone_number": "214-526-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUKER",
        "first_name": "RACHEL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.