Individual provider Active NPI

Rachel Dillickraeth, LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1689994832
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9665 Issued in FL
Practice address
7601 Conroy Windermere Rd Ste 203
Orlando, FL 32835-2688
Phone
(407) 704-1461
Fax
(407) 704-1501
NPI assigned
Jun 9, 2010
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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 MH9665 FL Primary

Addresses

Primary practice location

7601 Conroy Windermere Rd Ste 203
Orlando, FL 32835-2688

Mailing address

7601 Conroy Windermere Rd Ste 203
Orlando, FL 32835-2688
Phone (407) 704-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH9665FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Happy Mind Company Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1689994832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352688",
            "telephone_number": "407-704-1461",
            "fax_number": "407-704-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352688",
            "telephone_number": "407-704-1461",
            "fax_number": "407-704-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLICKRAETH",
        "first_name": "RACHEL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.