RACHEL ROSE MS - NPI 1891161733 - Marriage & Family Therapist in Bountiful, UT

Q: What is Rachel Rose's NPI number?

The NPI number for Rachel Rose is 1891161733. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Q: What is Rachel Rose's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Rachel Rose enrolled in Medicare?

No. Rachel Rose has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rachel Rose was last updated on August 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rachel Rose Ms NPPES

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

RACHEL ROSE MS (NPI 1891161733) is an individual marriage & family therapist in Bountiful, Utah, licensed in Utah (11393394-3904) and active in the NPI registry since August 2015. She has opted out of Medicare through April 15, 2028 and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1891161733

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameRACHEL ROSECredential: MS

Location Address1459 N MAIN STBountiful, UT 84010-6092

Mailing Address430 Hidden Lake CirBountiful, UT 84010-6085

Phone(801) 298-2000

Sole ProprietorYes

Enumeration DateAugust 14, 2015

Last NPPES UpdateAugust 18, 2019

✔ NPI 1891161733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in UT · 11393394-3904

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1459 N MAIN ST, Bountiful, UT 84010

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Secondary Practice Location 1

Location 1655 Prospect AveLong Beach, CA 90814-1815 · Phone (310) 783-4677

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rachel Rose Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024

Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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