Individual provider Active NPI

Rachel Gunkel

  • Behavior Technician
  • Plainfield, IL
National Provider Identifier
1699543850
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13550 S Route 30 Ste 204
Plainfield, IL 60544-5687
Phone
(815) 308-2322
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

13550 S Route 30 Ste 204
Plainfield, IL 60544-5687

Mailing address

13550 S Route 30 Ste 204
Plainfield, IL 60544-5687

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matt@modernbehaviorconsulting.com Modern Behavior Consulting LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Behavior Consulting LLC PastSince Mar 1, 2021 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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1699543850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 S ROUTE 30 STE 204",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S ROUTE 30 STE 204",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445687",
            "telephone_number": "815-308-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNKEL",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matt@modernbehaviorconsulting.com",
            "affiliation": "Y",
            "affiliationName": "Modern Behavior Consulting LLC",
            "address_1": "24641 W Harvester Dr",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605444207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.