Active NPI
Rachel Buckalew, LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1922652866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77137
- Practice address
- 3601 S. Georgia
Suite C-2
Amarillo, TX 79109-4800 - Phone
- (806) 206-9745
- Fax
- (806) 310-2660
- NPI assigned
- Jul 29, 2019
- Last updated
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77137 | TX | Primary |
Addresses
Primary practice location
3601 S. Georgia
Suite C-2
Amarillo, TX 79109-4800
Mailing address
4207 SW 3Rd Ave
Amarillo, TX 79106-5303
Phone (806) 206-9745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400909401 | Medicaid | TX |
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 |
|---|---|---|---|
| 77137 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1922652866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 SW 3RD AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791065303",
"telephone_number": "806-206-9745",
"fax_number": "806-310-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S. GEORGIA",
"address_2": "SUITE C-2",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791094800",
"telephone_number": "806-206-9745",
"fax_number": "806-310-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKALEW",
"first_name": "RACHEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400909401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.