RACHEL MICHELLE MACCRATIC
Counselor

Address: 1264 Robinson Ave, San Diego, CA 92103-4403

RACHEL MICHELLE MACCRATIC (NPI# 1912351685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912351685
Entity Type Individual
Full Name MS. RACHEL MICHELLE MACCRATIC
Gender Female
Credential J.D., M.S.W.
Practice Address 1264 Robinson Ave
San Diego
CA 92103-4403
Practice Telephone 9519650515
Mailing Address 1264 Robinson Ave
San Diego
CA 92103-4403
Mailing Telephone 9519650515
Enumeration Date 2016-04-19
Last Update Date 2016-04-19
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator 283283 CA Other Service Providers

Office Location

Street Address 1264 ROBINSON AVE
City SAN DIEGO
State CA
Zip Code 92103-4403

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

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.