Individual provider Active NPI

Rachael E. Dubose, LPCC-S

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1841587136
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1000397-SUPV Issued in OH
Practice address
3004 Snowvalley CT
Cincinnati, OH 45251-1213
Phone
(513) 400-3231
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1000397 OH
Mental Health Counselor 101YM0800X E.1000397-SUPV OH Primary

Addresses

Primary practice location

3004 Snowvalley CT
Cincinnati, OH 45251-1213

Mailing address

3004 Snowvalley CT
Cincinnati, OH 45251-1213
Phone (513) 400-3231

Other practice location 1

401 E McMillan St
Cincinnati, OH 45206-1922
Phone (513) 221-3350

Other practice location 2

909 Sycamore St
Cincinnati, OH 45202-1305
Phone (513) 352-1342

Other names 1

  • Rachael E. Miles Former name

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
I20240306001793 OH Practitioner - Mental Health Counselor 5092151647 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1000397OHMDMental Health Counselor
E.1000397-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Residential Services Inc. Current Accepting new patients
Overview Transitional Housing LLC CurrentSince Jan 21, 2024 Accepting new patients
My Community Health Center CurrentSince Jun 3, 2024 Accepting new patients
Guiding Light Mentoring Current Accepting new patients
Overview Transitional Housing LLC CurrentSince Jan 21, 2024 Accepting new patients
My Community Health Center CurrentSince Jun 3, 2024 Accepting new patients
My Community Health Center Past Accepting new patients

Locations

1318 Gonder Ave SE
Unit 1
Canton, OH 44707
Phone (330) 639-1071

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

270 Northland Blvd
Ste 213
Cincinnati, OH 45246
Phone (513) 461-2158

10029 Cleveland Ave SE
Magnolia, OH 44643
Phone (234) 386-0306

Interoperability endpoints

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

Organizations & group practices 7

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1841587136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SNOWVALLEY CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511213",
            "telephone_number": "513-400-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 SNOWVALLEY CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511213",
            "telephone_number": "513-400-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E McMillan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061922",
            "country_code": "US",
            "telephone_number": "513-221-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452021305",
            "country_code": "US",
            "telephone_number": "513-352-1342",
            "fax_number": "513-352-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "RACHAEL",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1000397",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1000397-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MILES",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.