Active NPI
Rachel Stout, M.A./ED.S, LPCA, NCC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1831510965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A10458
- Practice address
- 1923 J N Pease PL
Ste 104
Charlotte, NC 28262-4513 - Phone
- (704) 733-9700
- NPI assigned
- Dec 16, 2013
- 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 | A10458 | NC | Primary |
Addresses
Primary practice location
1923 J N Pease PL
Ste 104
Charlotte, NC 28262-4513
Mailing address
402 Oak Knoll Dr
Thomasville, NC 27360
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10458 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1831510965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 OAK KNOLL DR",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "27360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 J N PEASE PL",
"address_2": "STE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624513",
"telephone_number": "704-733-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "RACHEL",
"credential": "M.A./ED.S, LPCA, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A10458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.