Individual provider Active NPI

Racheal A Rhoades, MFC43624

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1760515266
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43624 Issued in CA
Practice address
541 Ledge St
San Marcos, CA 92078-2840
Phone
(760) 583-2524
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 43624 CA Primary

Addresses

Primary practice location

541 Ledge St
San Marcos, CA 92078-2840

Mailing address

541 Ledge St
San Marcos, CA 92078-2840
Phone (760) 583-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260520004370 CA Practitioner - Marriage and Family Therapist 4981173713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

334 Via Vera Cruz
Suite 255
San Marcos, CA 92078-2642
Phone (760) 583-2524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43624CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Therapyworks, a Marriage and Family Therapy Corporation Marriage & Family Therapist CurrentSince Sep 6, 2020 Accepting new patients

Locations

27851 Bradley Rd
Ste 130L
Menifee, CA 92586
Phone (661) 402-1952

334 Via Vera Cruz
Ste 255
San Marcos, CA 92078
Phone (760) 428-1239

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1760515266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524",
            "fax_number": "760-788-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "RACHEAL",
        "middle_name": "A",
        "credential": "MFC43624",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.