Healthcare Provider Details

I. General information

NPI: 1801450614
Provider Name (Legal Business Name): RACHEL K. MCCOACH LCAT, LMHC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL K. LEE SOON MA, LCAT, LMHC, RDT

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 ENA RD STE 5055
HONOLULU HI
96815-1779
US

IV. Provider business mailing address

460 ENA RD STE 505
HONOLULU HI
96815-1774
US

V. Phone/Fax

Practice location:
  • Phone: 917-267-2392
  • Fax:
Mailing address:
  • Phone: 808-219-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17749
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number002028
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-590
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: