Active NPI
Rachel M Mathew, MA, BCPCC
- Mental Health Counselor
- Crystal River, FL
National Provider Identifier
1821325085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9390
- Practice address
- 9870 W Fort Island TRL
Crystal River, FL 34429-5383 - Phone
- (352) 212-0555
- Fax
- (352) 795-5766
- NPI assigned
- Nov 9, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9390 | FL | Primary |
Addresses
Primary practice location
9870 W Fort Island TRL
Crystal River, FL 34429-5383
Mailing address
9870 W Fort Island TRL
Crystal River, FL 34429-5383
Phone (352) 212-0555
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9390 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1821325085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9870 W FORT ISLAND TRL",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344295383",
"telephone_number": "352-212-0555",
"fax_number": "352-795-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9870 W FORT ISLAND TRL",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344295383",
"telephone_number": "352-212-0555",
"fax_number": "352-795-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "RACHEL",
"middle_name": "M",
"credential": "MA, BCPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.