Individual provider Active NPI

Racheal Marie Trupe, LLMSW

  • Social Worker
  • Port Huron, MI
National Provider Identifier
1871501650
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802085536 Issued in MI
Practice address
2415 24TH St
Port Huron, MI 48060-6414
Phone
(104) 888-8648
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851116501 MI
Social Worker 104100000X 6802085536 MI Primary

Addresses

Primary practice location

2415 24TH St
Port Huron, MI 48060-6414

Mailing address

3161 Washington St
Fort Gratiot, MI 48059-2860
Phone (989) 550-0492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6802085536MIMDSocial Worker
6851116501MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair County Community Mental Health Authority Past Accepting new patients

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1871501650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 WASHINGTON ST",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480592860",
            "telephone_number": "989-550-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 24TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606414",
            "telephone_number": "104-888-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPE",
        "first_name": "RACHEAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116501",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802085536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.