Individual provider Active NPI

Rachael Heinsen, LMFT

  • Marriage & Family Therapist
  • Columbus, GA
National Provider Identifier
1821325911
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1265 Issued in GA
Practice address
4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636
Phone
(706) 617-5510
Fax
(706) 327-1444
NPI assigned
Nov 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 51812 CA
Marriage & Family Therapist 106H00000X 1265 GA Primary

Addresses

Primary practice location

4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636

Mailing address

4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636
Phone (706) 617-5510

Other names 1

  • Rachael Souter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 15, 2025 through Jan 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51812CAMDMarriage & Family Therapist
1265GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RLH Therapy, LLC Marriage & Family Therapist Current Accepting new patients
Columbus Couseling Associates LLC Past Accepting new patients

Locations

4 Bradley Park Ct
Ste 1B
Columbus, GA 31904
Phone (706) 507-5444

Organizations & group practices 2

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1821325911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "706-617-5510",
            "fax_number": "706-327-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "706-617-5510",
            "fax_number": "706-327-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSEN",
        "first_name": "RACHAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51812",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SOUTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.