Individual provider Active NPI

Rachel Kathleen Velishek, MA, LPCC

  • Professional Counselor
  • Newark, OH
National Provider Identifier
1831459494
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1200015 Issued in OH
Practice address
200 Messimer Drive
Newark, OH 43055
Phone
(220) 564-4873
Fax
(220) 564-4872
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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.1200015 OH
Mental Health Counselor 101YM0800X E.1200015 OH
Professional Counselor 101YP2500X E.1200015 OH Primary

Addresses

Primary practice location

200 Messimer Drive
Newark, OH 43055

Mailing address

200 Messimer Drive
Newark, OH 43055
Phone (220) 564-4873

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvelishek14490@lickingmemorial.medicity.net

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
I20240304001171 OH Practitioner - Other (Non-Physician) 8224473939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Renew Wellness LLCGroup PAC ID 0547673618, 5 clinicians

Practice addresses (Care Compare)

287 W Johnstown Rd
Columbus, OH 43230-2732
Phone (614) 305-5102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.1200015OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wellness LLC CurrentSince Jan 1, 2024 Accepting new patients
Pathways Counseling and Growth Center Past Accepting new patients
Pathways Counseling and Growth Center PastSince Oct 28, 2016 Accepting new patients

Locations

287 W Johnstown Rd
Gahanna, OH 43230
Phone (614) 305-5102

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/

Organizations & group practices 3

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1831459494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MESSIMER DRIVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "220-564-4873",
            "fax_number": "220-564-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MESSIMER DRIVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "220-564-4873",
            "fax_number": "220-564-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELISHEK",
        "first_name": "RACHEL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1200015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1200015",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1200015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvelishek14490@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "200 Messimer Drive",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.