MEDICARE: RACHEL LYNN STARR LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	163710	CA

General Provider Information

NPI Number	:	1063104743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LYNN STARR LMFT

Provider Business Mailing Address
First Line	:	3555 RUFFIN RD UNIT 174
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2563
Country	:	US
Telephone Number	:	619-507-3621
Fax Number	:

Provider Business Practice Location Address
First Line	:	8775 AERO DR STE 238
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1756
Country	:	US
Telephone Number	:	619-930-9524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	06/09/2026

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