Healthcare Provider Details

I. General information

NPI: 1447182324
Provider Name (Legal Business Name): RACHEL VINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 REGENT ST STE 302
MADISON WI
53715-2634
US

IV. Provider business mailing address

2602 SMOKY TRL UNIT 203
FITCHBURG WI
53711-1480
US

V. Phone/Fax

Practice location:
  • Phone: 608-406-2022
  • Fax:
Mailing address:
  • Phone: 770-755-8196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: