Organization Active NPI

Rae Counseling & Wellness, PLLC

  • Mental Health Counselor
  • St Charles, IL
National Provider Identifier
1750140513
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RAE COUNSELING & WELLNESS, PLLC
Practice address
3833 E Main St # 2115
St Charles, IL 60174-2424
Phone
(630) 818-0362
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Brittany R Hetzel, LCSWNPI 1477135770
Title
Practice Owner
Phone
(630) 818-0362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3833 E Main St # 2115
St Charles, IL 60174-2424

Mailing address

3833 E Main St # 2115
St Charles, IL 60174-2424
Phone (630) 818-0362

National Provider Directory

National Provider Directory

Locations

3833 E Main St
#2115
St Charles, IL 60174
Phone (630) 818-0362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1750140513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 E MAIN ST # 2115",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742424",
            "telephone_number": "630-818-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 E MAIN ST # 2115",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742424",
            "telephone_number": "630-818-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "630-818-0362",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.