Active NPI
Raven Rachelle Thousand, EDD, LPC
- Counselor
- McKinney, TX
National Provider Identifier
1760212823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 79154
- Practice address
- 1515 Heritage Dr
McKinney, TX 75069-3256 - Phone
- (469) 966-5118
- NPI assigned
- Aug 5, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 79154 | TX | Primary |
Addresses
Primary practice location
1515 Heritage Dr
McKinney, TX 75069-3256
Mailing address
1515 Heritage Dr
McKinney, TX 75069-3256
Phone (469) 966-5118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79154 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1760212823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HERITAGE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693256",
"telephone_number": "469-966-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HERITAGE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693256",
"telephone_number": "469-966-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOUSAND",
"first_name": "RAVEN",
"middle_name": "RACHELLE",
"name_prefix": "Miss",
"credential": "EDD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "79154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.