Healthcare Provider Details

I. General information

NPI: 1124931852
Provider Name (Legal Business Name): RACHEL ELEANOR SEGAL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DR # 100
FRISCO CO
80443-5948
US

IV. Provider business mailing address

PO BOX 8142
BRECKENRIDGE CO
80424-8141
US

V. Phone/Fax

Practice location:
  • Phone: 970-452-8543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0025380
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: