Active NPI
Rachael Hollister Wooten, PH.D.
- Counseling Psychologist
- Raleigh, NC
National Provider Identifier
1811144942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 569
- Practice address
- 2721 Kittrell Dr.
Raleigh, NC 27608 - Phone
- (919) 881-9661
- Fax
- (919) 881-1165
- NPI assigned
- Aug 20, 2008
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 569 | NC | Primary |
Addresses
Primary practice location
2721 Kittrell Dr.
Raleigh, NC 27608
Mailing address
2721 Kittrell Dr.
Raleigh, NC 27608
Phone (919) 881-9661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8904849 | Other | MEDICARE | |
| 04849 | Other | BC BS NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1811144942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 KITTRELL DR.",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27608",
"telephone_number": "919-881-9661",
"fax_number": "919-881-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 KITTRELL DR.",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27608",
"telephone_number": "919-881-9661",
"fax_number": "919-881-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "RACHAEL",
"middle_name": "HOLLISTER",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8904849",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS NC",
"identifier": "04849",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.