Active NPI
Rachael Voelker, LMFT
- Marriage & Family Therapist
- Kingsport, TN
National Provider Identifier
1891386108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1680
- Practice address
- 1936 Brookside Dr Ste E
Kingsport, TN 37660-4654 - Phone
- (142) 376-5077
- NPI assigned
- Jan 29, 2021
- Last updated
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1680 | TN | |
| Marriage & Family Therapist | 106H00000X | 1680 | TN | Primary |
Addresses
Primary practice location
1936 Brookside Dr Ste E
Kingsport, TN 37660-4654
Mailing address
200 Trace CT
Kingsport, TN 37664-5296
Phone (423) 765-7816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1680 | Other | TN | BOARD FOR LICENSED PROFESSIONAL COUNSELORS, LICENSED MARITAL AND FAMILY THERAPIS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | illuminatekc@mail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1891386108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TRACE CT",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376645296",
"telephone_number": "423-765-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 BROOKSIDE DR STE E",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604654",
"telephone_number": "142-376-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOELKER",
"first_name": "RACHAEL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "1680",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD FOR LICENSED PROFESSIONAL COUNSELORS, LICENSED MARITAL AND FAMILY THERAPIS",
"identifier": "1680",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "illuminatekc@mail.com",
"affiliation": "N",
"endpointDescription": "clinic email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "desktop",
"address_1": "1936 Brookside Dr Ste E",
"city": "Kingsport",
"state": "TN",
"country_code": "US",
"postal_code": "376604654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.