Individual provider Active NPI

Rachael Faris, APRN, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Powell, OH
National Provider Identifier
1881475309
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0034622 Issued in OH
Practice address
4034 N Hampton Dr
Powell, OH 43065-8445
Phone
(614) 588-8131
Fax
(614) 715-2214
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN.CNP.0034622 OH Primary

Addresses

Primary practice location

4034 N Hampton Dr
Powell, OH 43065-8445

Mailing address

619 Maketewah Dr
Delaware, OH 43015-8499
Phone (917) 371-1818

Other names 1

  • Rachael Saunders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417000356 OH Practitioner - Nurse Practitioner 1153760640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cultivate Psychiatry and WellnessGroup PAC ID 0648618025, 7 clinicians

Practice addresses (Care Compare)

4034 N Hampton Dr
Powell, OH 43065-8445
Phone (614) 588-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034622OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC Single Specialty CurrentSince Jan 28, 2025 Accepting new patients
Cultivate Psychiatry and Wellness Single Specialty CurrentSince Dec 18, 2023 Accepting new patients
360Team Psychiatry LLC Single Specialty CurrentSince Feb 25, 2024 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

4034 N Hampton Dr
Powell, OH 43065
Phone (614) 588-8131

Organizations & group practices 3

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1881475309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MAKETEWAH DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430158499",
            "telephone_number": "917-371-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658445",
            "telephone_number": "614-588-8131",
            "fax_number": "614-715-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "RACHAEL",
        "credential": "APRN, PMH-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SAUNDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.