RACHEL WALLACE (NPI# 1841704640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841704640 |
| Entity Type | Individual |
| Full Name | RACHEL WALLACE |
| Credential | CDCA |
| Practice Address |
5234 W St Rt 63 Lebanon OH 45036-8202 |
| Mailing Address |
5232 W St Rt 63 Lebanon OH 45036-8202 |
| Practice Telephone | 5139339304 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386829 | Rachel Myrah Wallace | Student in an Organized Health Care Education/Training Program | 185 Doby Rd, Cameron, NC 28326-8185 | 2020-11-04 |
| 1033602131 | Rachel Morgan Wallace | Student in an Organized Health Care Education/Training Program | Primary Health Network, 737 Greenville Rd, Building One, Mercer, PA 16137 | 2018-06-13 |
| 1518578863 | Rachel Wallace | Case Manager/Care Coordinator | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2020-08-11 |
| 1912534363 | Rachel Wallace | Counselor | 3 Cardinal Ln, Newton, NJ 07860-1454 | 2020-03-25 |
| 1912556309 | Rachel Wallace | Nurse Practitioner | 2060 Carlisle Rd, Aspers, PA 17304-9707 | 2019-09-09 |
| 1538717814 | Rachel Wallace | Registered Nurse | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2019-08-29 |
| 1598270894 | Rachel Wallace | Speech-Language Pathologist | 121 E 30th St, New York, NY 10016-7302 | 2017-12-08 |
| 1568989788 | Rachel Ann Wallace | Counselor | 210 Pacific Ave N, Kelso, WA 98626-3414 | 2017-08-28 |
| 1669719175 | Rachel Renee Wallace | Nurse Anesthetist, Certified Registered | 1311 N Mildred Rd, Cortez, CO 81321 | 2013-01-04 |
| 1447462270 | Rachel L Wallace | Specialist/Technologist | 801 Medical Dr, Lima, OH 45804-4099 | 2007-05-04 |
| Street Address |
5234 W ST RT 63 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851310 | Yvonne L Baker | Case Manager/Care Coordinator | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2020-04-30 |
| 1255822862 | Corrine Miller | Social Worker | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2018-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523059 | Sommer Mae Green | Counselor | 4216 Hunting Hawk Dr, Lebanon, OH 45036-7040 | 2020-09-16 |
| 1174169817 | Kacie Elizabeth Giffin | Counselor | 3883 Keever Pass, Lebanon, OH 45036-8837 | 2019-11-18 |
| 1184271264 | Jessica Stacy | Counselor | 15 N Corwin St, Lebanon, OH 45036-2001 | 2019-08-22 |
| 1063078855 | Southwest Regional Counseling Service Inc | Counselor | 1114 E Main St Ste 4, Lebanon, VA 24266-5014 | 2019-05-16 |
| 1508420357 | Ascension Therapy Services, LLC | Counselor | 1545 Shaker Run Blvd, Lebanon, OH 45036-4004 | 2019-04-26 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1063980779 | William Neil Caldwell | Counselor | 241 N Depot St, Lebanon, KY 40033-1419 | 2018-11-12 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1720575616 | Nadine Alicia Cambridge | Counselor | 777 Columbus Ave Ste 7-d, Lebanon, OH 45036-1684 | 2018-04-17 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.