Provider Demographics
NPI:1891200267
Name:KNUEHL, RACHEL ANN (MA)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ANN
Last Name:KNUEHL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 GLENN AVENUE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015
Mailing Address - Country:US
Mailing Address - Phone:859-992-8494
Mailing Address - Fax:
Practice Address - Street 1:8140 DREAM ST STE D
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-7532
Practice Address - Country:US
Practice Address - Phone:859-618-4061
Practice Address - Fax:859-254-2075
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OHN-A-1171M00000X
KY265196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013358811OtherUNKNOWN
KY1083902191Medicaid
N-A-1OtherLICENSURE