Active NPI
Jourdin Rachael Revels
- Counselor
- Orange, CA
National Provider Identifier
1770315723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 19378
- Practice address
- 4000 W Metropolitan Dr
Orange, CA 92868-3504 - Phone
- (866) 830-6011
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 19378 | CA | Primary |
Addresses
Primary practice location
4000 W Metropolitan Dr
Orange, CA 92868-3504
Mailing address
4000 W Metropolitan Dr
Orange, CA 92868-3504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756598400000",
"number": "1770315723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W METROPOLITAN DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W METROPOLITAN DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683504",
"telephone_number": "866-830-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELS",
"first_name": "JOURDIN",
"middle_name": "RACHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-08-31",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "19378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.