Active NPI
Rakefet Laviolette, LPC-ASSOCIATE
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1760194070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 89241
- Practice address
- 3625 Menchaca Rd Ste 202
Austin, TX 78704-5912 - Phone
- (512) 522-6099
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89241 | TX | Primary |
Addresses
Primary practice location
3625 Menchaca Rd Ste 202
Austin, TX 78704-5912
Mailing address
2707 Del Curto Rd
Austin, TX 78704-6000
Phone (512) 417-2041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 4, 2024 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89241 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1760194070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 DEL CURTO RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046000",
"telephone_number": "512-417-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 MENCHACA RD STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045912",
"telephone_number": "512-522-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIOLETTE",
"first_name": "RAKEFET",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "89241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.