Rachel L Niespodzany, MA; LMHC – Counselor

Key facts

NPI: 1699107243
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 8374-125 (WI)
Practice address: 201 Memorial Dr
Pulaski, WI 54162-9774
Phone: (920) 282-9400
Fax: (920) 282-9600
NPI assigned: Aug 6, 2013
Sex: Female
Sole proprietor: No

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.

Richard Kneip, PH.D., P.C. Community/Behavioral Health Agency · Clarkston, MI · NPI 1679739700

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
8374-125	WI	MD	Counselor
087682	IA	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Richard Kneip, PH.D., P.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	8374-125	WI	Yes
Mental Health Counselor	101YM0800X	087682	IA

Addresses

Primary practice location

201 Memorial Dr
Pulaski, WI 54162-9774

Mailing address

201 Memorial Dr
Pulaski, WI 54162-9774
Phone (920) 282-9400

Other names

Ms. Rachel L Burkel Former name

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	thriverachel@thrivebehhealthllc.hush.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1699107243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MEMORIAL DR",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541629774",
            "telephone_number": "920-282-9400",
            "fax_number": "920-282-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MEMORIAL DR",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541629774",
            "telephone_number": "920-282-9400",
            "fax_number": "920-282-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESPODZANY",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA; LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "8374-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "087682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thriverachel@thrivebehhealthllc.hush.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "201 Memorial Dr",
            "city": "Pulaski",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541629774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BURKEL",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MA; LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pulaski, WI

All providers in Pulaski, WI · Counselor in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.