Rachel Edwards De Alba, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

8128 Issued in SC

Practice address

204 E Main St
Pendleton, SC 29670-1308

Phone

(864) 383-1996

NPI assigned

Aug 6, 2019

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2024 through Apr 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Well Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clemson, SC
  • NPI 1457845299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1871148932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701308",
            "telephone_number": "864-383-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296701308",
            "telephone_number": "864-383-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ALBA",
        "first_name": "RACHEL",
        "middle_name": "EDWARDS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "8128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Companions
• Companion Express Transportation
• Isabella Lyn Conigliaro
• Alison Lynne Cory, PHD, LPC
• Sharon S Cothran, ADN
• Christie Lynn Drawdy, M.A., CCC-SLP
• Dale H. Ducworth, M.C.D.
• Loletha Earle
• Tamika Lashawna Earle, LMSW
• Family Dental Health Group LLC (Family Dental Health of Pendleton)

• Counselor in Pendleton, SC
• Providers in Pendleton, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.