Rachel Goodwyn Ellenberger, LCMHC-A, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19760 Issued in NC

Practice address

607 Wicker St
Sanford, NC 27330-4151

Phone

(336) 671-5454

NPI assigned

Mar 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Be Herd LLC

  • Professional Counselor
  • Vass, NC
  • NPI 1013573880
  NPD (past)

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1972360832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MULLINGAR DR",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283274801",
            "telephone_number": "336-671-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304151",
            "telephone_number": "336-671-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "RACHEL",
        "middle_name": "GOODWYN",
        "name_prefix": "Dr.",
        "credential": "LCMHC-A, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Edmundson, OTR/L
• Rosemarie Edralin, PT
• David Andrew Edrington, DDS
• Saida Marlena Egli
• Elizabeth McGee Martin PHD PLLC
• Patricia Jane Eller, CMF
• Laura Beech Ellington, MSW, PLCSW
• Hollis Reed Elmore, AUD
• Scott W. Elton, M.D.
• Mohamed Emam, R.PH

• Mental Health Counselor in Sanford, NC
• Providers in Sanford, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.