Individual provider Active NPI

Rachel Mashelle Conley, LPCC, LICDC

  • Mental Health Counselor
  • Chillicothe, OH
National Provider Identifier
1821507583
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2102606 Issued in OH
Practice address
637 Central Ctr
Chillicothe, OH 45601-2249
Phone
(740) 649-9360
NPI assigned
Sep 26, 2017
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2102606 NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 151035 OH
Mental Health Counselor 101YM0800X E.2102606 OH Primary

Addresses

Primary practice location

637 Central Ctr
Chillicothe, OH 45601-2249

Mailing address

423 Mill St
Chillicothe, OH 45601-2317
Phone (740) 649-9360

Other practice location 1

14572 suite c state route 23
Waverly, OH 45690-4560
Phone (740) 649-9360

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapynotes Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240111002123 OH Practitioner - Mental Health Counselor 5799136909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

637 Central Ctr
Chillicothe, OH 45601-2249
Phone (740) 649-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151035OHMDAddiction (Substance Use Disorder) Counselor
E.2102606OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for Tomorrow Inc CurrentSince Dec 1, 2023 Accepting new patients
Reach for Tomorrow Inc CurrentSince Dec 1, 2023 Accepting new patients
Serenity Wellness Center Counselor CurrentSince Dec 1, 2023 Accepting new patients
Serenity Wellness Center Past Accepting new patients
Integrated Services for Behavioral Health Past Accepting new patients
Serenity Wellness Center Past Accepting new patients

Locations

637 Central Ctr
Chillicothe, OH 45601
Phone (740) 648-8110

910 South St
Greenfield, OH 45123
Phone (877) 997-3224

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1821507583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MILL ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012317",
            "telephone_number": "740-649-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012249",
            "telephone_number": "740-649-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14572 suite c state route 23",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456904560",
            "country_code": "US",
            "telephone_number": "740-649-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "RACHEL",
        "middle_name": "MASHELLE",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "E.2102606",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151035",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapynotes",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "637 Central Ctr",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456012249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.