Individual provider Active NPI

Rachel Hartshorn

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1760067862
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12619364-3904 Issued in UT
Practice address
2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790
Phone
(702) 487-7249
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12619364-3904 UT Primary

Addresses

Primary practice location

2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790

Mailing address

2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790
Phone (702) 487-7249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20251208001835 UT Practitioner - Marriage and Family Therapist 0042703035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

321 N Mall Dr
Suite Vw105
Saint George, UT 84790-7337

3544 S Bloomfield Dr
Washington, UT 84780-3052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12619364-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Bloom Recovery LTD. Marriage & Family Therapist CurrentSince Mar 17, 2024 Accepting new patients
Enlightened Counseling Services LLC PastSince Aug 14, 2022 Accepting new patients
Sela Health, PLLC Marriage & Family Therapist PastSince Mar 1, 2021 Accepting new patients

Locations

2520 Saint Rose Pkwy
Ste 306
Henderson, NV 89074
Phone (702) 487-7249

Organizations & group practices 4

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1760067862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 306",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747790",
            "telephone_number": "702-487-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 306",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747790",
            "telephone_number": "702-487-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSHORN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12619364-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.