Active NPI
Rachelle Reinisch, LMFT
- Marriage & Family Therapist
- Rosemount, MN
National Provider Identifier
1992475735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3019
- Practice address
- 15170 Chippendale Ave W Ste 102
Rosemount, MN 55068-2769 - Phone
- (812) 701-8824
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3019 | MN | Primary |
Addresses
Primary practice location
15170 Chippendale Ave W Ste 102
Rosemount, MN 55068-2769
Mailing address
15180 December TRL
Rosemount, MN 55068-5532
Phone (812) 701-8824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3019 | Other | MN | MARRIAGE AND FAMILY THERAPY LICENSE |
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 |
|---|---|---|---|
| 3019 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1992475735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15180 DECEMBER TRL",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550685532",
"telephone_number": "812-701-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15170 CHIPPENDALE AVE W STE 102",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550682769",
"telephone_number": "812-701-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINISCH",
"first_name": "RACHELLE",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
"identifier": "3019",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.