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RACHEL SPRAGUE M.ED, LCMHC
NPI 1265041438
Counselor - Mental Health in Kernersville, NC

Active since July 23, 2020PECOS Enrolled
126 N MAIN ST, KERNERSVILLE, NC 27284(336) 270-9690 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2022, Jul 23, 2020 (2 updates tracked since 2020).

About Rachel Sprague M.ed, Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL SPRAGUE M.ED, LCMHC (NPI 1265041438) is an individual mental health provider in Kernersville, North Carolina, licensed in North Carolina (15894) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clemmons.

NPPES Registry Identity

NPI1265041438
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRACHEL SPRAGUECredential: M.ED, LCMHC
Location Address126 N MAIN STKernersville, NC 27284-2878
Mailing Address2718 Liberty RdGreensboro, NC 27406-4714 · (509) 710-9690
Phone(336) 270-9690
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1265041438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 15894✔ Licensed in NC · A15894
126 N MAIN ST, Kernersville, NC 27284
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Secondary Practice Location 1

Location 12570 Harper RdClemmons, NC 27012-8690 · Phone (336) 270-9690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Sprague M.ed, Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Sprague reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Behavioral Medicine PC
11 mi
Psychiatry
445 DOLLEY MADISON RD STE 100
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
  • 74 clinicians in this Medicare group
NPI 1134868300 (336) 967-6596
Transitions Therapeutic Care LLC
12 mi
Community/Behavioral Health
114 S WESTGATE DR STE E
Greensboro, NC 27407
  • Reassigned Medicare billing, North Carolina enrollment
  • 10 clinicians in this Medicare group
NPI 1104068006 (336) 907-7308

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Sprague's NPI number?

The NPI number for Rachel Sprague is 1265041438. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Rachel Sprague located?

Rachel Sprague practices at 126 N Main St, Kernersville, NC 27284. The listed phone number is (336) 270-9690.

What is Rachel Sprague's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rachel Sprague enrolled in Medicare?

Yes. Rachel Sprague is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachel Sprague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Sprague reassigns Medicare benefits to 2 organizations: Apogee Behavioral Medicine PC (Greensboro, NC) and Transitions Therapeutic Care LLC (Greensboro, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Sprague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Sprague accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Rachel Sprague as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachel Sprague was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.