Individual provider Active NPI

Rachel Lori Heinrichs, PHD, PSYCHOLOGIST

  • Counseling Psychologist
  • Delray Beach, FL
National Provider Identifier
1881348837
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY11391 Issued in FL
Practice address
550 SE 6TH Ave # 200L
Delray Beach, FL 33483-5306
Phone
(954) 372-7199
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3826 WI
Counseling Psychologist 103TC1900X PY11391 FL Primary

Addresses

Primary practice location

550 SE 6TH Ave # 200L
Delray Beach, FL 33483-5306

Mailing address

5949 NW 63Rd Way
Parkland, FL 33067-1525
Phone (954) 993-6035

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY11391FLMDCounseling Psychologist
3826WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breakwater Psychotherapy, LLC Counseling CurrentSince Feb 13, 2022 Accepting new patients

Locations

2200 NW Corporate Blvd
Ste 100
Boca Raton, FL 33431
Phone (954) 507-2832

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1881348837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 NW 63RD WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671525",
            "telephone_number": "954-993-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE 6TH AVE # 200L",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835306",
            "telephone_number": "954-372-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICHS",
        "first_name": "RACHEL",
        "middle_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "3826",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY11391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.