Individual provider Active NPI

Rachel Slater, PHD, LP

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1821316241
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP5141 Issued in MN
Practice address
970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701
Phone
(612) 405-7057
Fax
(651) 797-4523
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP5141 MN Primary

Addresses

Primary practice location

970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701

Mailing address

970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701
Phone (612) 405-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100928000578 MN Practitioner - Clinical Psychologist 9335265354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Minnesota Medical School, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

970 Raymond Ave
Suite 105
Saint Paul, MN 55114-1701
Phone (612) 405-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5141MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Living, Inc CurrentSince May 14, 2016 Accepting new patients

Locations

970 Raymond Ave
Ste 105
Saint Paul, MN 55114
Phone (612) 405-7057

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1821316241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RAYMOND AVE STE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141701",
            "telephone_number": "612-405-7057",
            "fax_number": "651-797-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RAYMOND AVE STE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141701",
            "telephone_number": "612-405-7057",
            "fax_number": "651-797-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.