RAELYNN PEDERSEN LPC NPI 1194043760

NPI Information

NPI: 1194043760
Provider Name: RAELYNN PEDERSEN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
501 AIRPORT RD
RIFLE, CO
ZIP 81650
Phone: (970) 625-3582
Get Directions

Raelynn Pedersen, LPC is a professional counselor in Rifle, CO. Raelynn Pedersen, LPC NPI is 1194043760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 AIRPORT RD
RIFLE, CO
ZIP 81650-510
Phone: (970) 625-3582
Fax: (970) 625-9707

The enumeration date for this NPI number is 5/6/2010 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	11229	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60835338	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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