Bennett Rachal, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19000 Issued in FL

Practice address

6108 Arlington Rd
Jacksonville, FL 32211-5420

Phone

(904) 569-6499

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Merakey Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467252536
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1770013237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 TROTTERS BEND TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255519",
            "telephone_number": "904-753-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 ARLINGTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115420",
            "telephone_number": "904-569-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "BENNETT",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R6 Holdings, LLC
• Jin Hee Ra, MD
• Marissa Rabadi, D.O.
• Ferenc Rabai, M.D.
• Jeanne Elyse Rabalais, MD
• Kristina Rached, M.D.
• Rachel Hollenbach, LLC
• Rachelle Homehealth Care LLC
• Loudine Racius, ARNP
• Alexzandrya Rackley

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.