Individual provider Active NPI

Rachel Dix Underwood, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1942039938
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013806 Issued in VA
Practice address
360 Campbell Ave SW
Roanoke, VA 24016-3625
Phone
(540) 795-4669
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013806 VA Primary

Addresses

Primary practice location

360 Campbell Ave SW
Roanoke, VA 24016-3625

Mailing address

360 Campbell Ave SW
Roanoke, VA 24016-3625
Phone (540) 795-4669

Other names 1

  • Ms. Rachel Nicole Dix Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930001236 VA Practitioner - Mental Health Counselor 4981135126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service of Roanoke ValleyGroup PAC ID 0941296958, 3 clinicians

Practice addresses (Care Compare)

360 Campbell Ave SW
Roanoke, VA 24016-3625
Phone (540) 563-5316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of Roanoke Valley CurrentSince Jul 24, 2024 Accepting new patients

Locations

2607 Salem Tpke NW
Roanoke, VA 24017
Phone (540) 339-7674

360 Campbell Ave SW
Roanoke, VA 24016
Phone (540) 563-5316

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1942039938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163625",
            "telephone_number": "540-795-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163625",
            "telephone_number": "540-795-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "RACHEL",
        "middle_name": "DIX",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DIX",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.