Individual provider Active NPI

Rachel Eleanor Williams

  • Mental Health Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1962986711
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW106117 Issued in CA
Practice address
6371 Haven Ave # 3358
Rancho Cucamonga, CA 91737-6943
Phone
(909) 635-5443
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW106117 CA
Mental Health Counselor 101YM0800X ASW85413 CA
Mental Health Counselor 101YM0800X LCSW106117 CA Primary
Clinical Social Worker 1041C0700X 120110 TX

Addresses

Primary practice location

6371 Haven Ave # 3358
Rancho Cucamonga, CA 91737-6943

Mailing address

6371 Haven Ave # 3358
Rancho Cucamonga, CA 91737-6943
Phone (909) 635-5443

Other practice location 1

1686 Barton Rd
Redlands, CA 92373-1488
Phone (909) 635-5443

Other identifiers 1

IdentifierTypeStateIssuer
106117OtherCABOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231109002084 CA Practitioner - Clinical Social Worker 7911354121 Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW85413CAMDMental Health Counselor
LCSW106117CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1962986711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6371 HAVEN AVE # 3358",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376943",
            "telephone_number": "909-635-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 HAVEN AVE # 3358",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376943",
            "telephone_number": "909-635-5443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1686 Barton Rd",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923731488",
            "country_code": "US",
            "telephone_number": "909-635-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHEL",
        "middle_name": "ELEANOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW106117",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW85413",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW106117",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "120110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "106117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.