Provider Demographics
NPI:1881200186
Name:JOPLIN, RACHEL (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:JOPLIN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:13550 S ROUTE 30 STE 202A
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5688
Mailing Address - Country:US
Mailing Address - Phone:224-595-6011
Mailing Address - Fax:
Practice Address - Street 1:13550 S ROUTE 30 STE 202A
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5688
Practice Address - Country:US
Practice Address - Phone:224-595-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional