Active NPI
Rachel Shoemaker
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1841708930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304784 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 3708 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Recovery Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Collective Healing, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Psychiatric Recovery PA | Past | Accepting new patients | |
| Encompass Hope, LLC | Addiction (Substance Use Disorder) | Past | 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.
-
- Marriage & Family Therapist
- Burnsville, MN
- NPI 1902501661
Addiction (Substance Use Disorder)
-
- Marriage & Family Therapist
- Eagan, MN
- NPI 1053937029
Addiction (Substance Use Disorder)
-
- Adolescent and Children Mental Health Clinic/Center
- Saint Paul, MN
- NPI 1891713681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.