Individual provider Active NPI

Rachel Shoemaker

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1841708930
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3708 Issued in MN
Practice address
3801 W 50TH St Ste 250a
Minneapolis, MN 55410-2047
Phone
(651) 412-5088
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304784 MN
Marriage & Family Therapist 106H00000X 3708 MN Primary

Addresses

Primary practice location

3801 W 50TH St Ste 250a
Minneapolis, MN 55410-2047

Mailing address

14171 Cobbler Ave
Rosemount, MN 55068-7129
Phone (612) 770-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240701000326 MN Practitioner - Marriage and Family Therapist 8022489475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304784MNMDAddiction (Substance Use Disorder) Counselor
3708MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Recovery Inc Marriage & Family Therapist CurrentSince Feb 4, 2024 Accepting new patients
Collective Healing, LLC Addiction (Substance Use Disorder) CurrentSince Apr 9, 2023 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients
Encompass Hope, LLC Addiction (Substance Use Disorder) PastSince Aug 19, 2022 Accepting new patients

Locations

2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115

Organizations & group practices 4

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1841708930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 COBBLER AVE",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550687129",
            "telephone_number": "612-770-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 50TH ST STE 250A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102047",
            "telephone_number": "651-412-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304784",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.