Individual provider Active NPI

Rachel Echelbarger, PRE-LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1669052908
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817
Phone
(317) 533-0329
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IN
Behavior Technician 106S00000X RBT-19-98966 IN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817

Mailing address

9135 N Meridian St Ste C5
Indianapolis, IN 46260-1817
Phone (317) 533-0329

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
RBT-19-98966INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brave Life Therapy CurrentSince Sep 10, 2023 Accepting new patients

Locations

9135 N Meridian St
Ste C5
Indianapolis, IN 46260
Phone (317) 533-0329

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1669052908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 N MERIDIAN ST STE C5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601817",
            "telephone_number": "317-533-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 N MERIDIAN ST STE C5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601817",
            "telephone_number": "317-533-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHELBARGER",
        "first_name": "RACHEL",
        "credential": "PRE-LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2023-01-12",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-98966",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.