Individual provider Active NPI

Rachel Depauw

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1942679501
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1800842 Issued in OH
Practice address
18 N Forge St
Akron, OH 44304-1317
Phone
(330) 762-0591
Fax
(330) 762-2242
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X E.1800842 OH Primary

Addresses

Primary practice location

18 N Forge St
Akron, OH 44304-1317

Mailing address

87 N Canton Rd
Akron, OH 44305-3838
Phone (330) 794-4254

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002267 OH Practitioner - Mental Health Counselor 2062955479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800842OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance & Family Solutions CurrentSince Apr 28, 2024 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Child Guidance & Family Solutions PastSince Apr 28, 2024 Accepting new patients

Locations

87 N Canton Rd
Akron, OH 44305
Phone (330) 733-7993

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

1865 Bailey Rd
Cuyahoga Falls, OH 44221
Phone (330) 928-2042

Interoperability endpoints

  • Direct secure messaging: rdepauw122027@direct.chmca.org

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1942679501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N CANTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053838",
            "telephone_number": "330-794-4254",
            "fax_number": "330-794-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591",
            "fax_number": "330-762-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAUW",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.