Rachelle Anne Douglas-Borell, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LICDC964551 Issued in OH

Practice address

6450 Weatherfield CT
Ste. 1B
Maumee, OH 43537-9146

Phone

(419) 866-2830

Fax

(419) 866-2831

NPI assigned

Jul 31, 2006

Last updated

Nov 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Douglas Borell Counseling Services LLC

  • Professional Counselor
  • Maumee, OH
  • NPI 1508587601
  Medicare reassignment NPD Authorized official
• Lurley J. Archambeau MD

  • Psychiatry Physician
  • Maumee, OH
  • NPI 1205077336
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1699781856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT STE 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379149",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT",
            "address_2": "STE. 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379146",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS-BORELL",
        "first_name": "RACHELLE",
        "middle_name": "ANNE",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E4002",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E4002",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "LICDC964551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699781856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Marie Dlugas, RN BSN
• Dominion Health Residential Services LLC
• Cyndel C Donaldson, NP
• Tracey Doughten, RN
• Douglas Borell Counseling Services LLC
• Doumet Medical LTD
• Jodi Lee Downey, LPN
• Dr Patrick Henry OD LLC (Lifetime Vision Care Center)
• Dr. Frances E. Webb-Smith, LLC
• Sacha Marie Draggoo, RN

• Professional Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.