Individual provider Active NPI

Rachel Katherine Willard, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1871235887
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011380 Issued in VA
Practice address
301 Elm Ave SW
Roanoke, VA 24016-4001
Phone
(540) 266-9200
Fax
(540) 266-9205
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011380 VA Primary

Addresses

Primary practice location

301 Elm Ave SW
Roanoke, VA 24016-4001

Mailing address

301 Elm Ave SW
Roanoke, VA 24016-4001
Phone (540) 266-9200

Other identifiers 1

IdentifierTypeStateIssuer
1437137734MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241018001403 VA Practitioner - Mental Health Counselor 3779933544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Behavioral Healthcare CurrentSince Aug 1, 2024 Accepting new patients

Locations

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

Organizations & group practices 1

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1871235887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-266-9200",
            "fax_number": "540-266-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-266-9200",
            "fax_number": "540-266-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "RACHEL",
        "middle_name": "KATHERINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437137734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.