Individual provider Active NPI

Rachel Elizabeth Lemon

  • Mental Health Counselor
  • Chilton, WI
National Provider Identifier
1730808809
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7079226 Issued in WI
Practice address
206 Court St
Chilton, WI 53014-1127
Phone
(920) 849-1400
Fax
(920) 849-1468
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 7079226 WI Primary

Addresses

Primary practice location

206 Court St
Chilton, WI 53014-1127

Mailing address

206 Court St
Chilton, WI 53014-1127
Phone (920) 849-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20240920001215 WI Practitioner - Mental Health Counselor 6204377047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7079226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calumet County CurrentSince Aug 10, 2024 Accepting new patients
Calumet County Mental Health CurrentSince Aug 10, 2024 Accepting new patients
Rawhide Inc. PastSince Aug 1, 2022 Accepting new patients

Locations

206 Court St
Chilton, WI 53014
Phone (920) 849-1400

Organizations & group practices 3

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1730808809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141127",
            "telephone_number": "920-849-1400",
            "fax_number": "920-849-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COURT ST",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141127",
            "telephone_number": "920-849-1400",
            "fax_number": "920-849-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7079226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.