Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215359013 Individual Practitioner Female Practitioner

Donna Rakidzich , LPC

Counselor - Professional • Longview, TX

Professional Overview & Biography Verified Profile Summary

Donna Rakidzich, LPC is a registered healthcare professional specializing in Counselor - Professional in Longview, TX. Practice services are available at 1005 N EASTMAN RD STE G2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1005 N Eastman Rd Ste G2

Longview, TX 756014231

Telephone 9032478262

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
142 Specialists

Practicing in Longview, TX (21203 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO LPC5631

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Erika Huelskamp , LCSW, CAC II

Social Worker - Clinical

NPI 1023051455

Licensed Clinical Social Worker, CACII

NPI 1205178993

Licensed Master Social Worker

Dr. James Farr , MD

Internal Medicine - Cardiovascular Disease

NPI 1275543274

Doctor of Medicine (M.D.)

Dr. Joshua Obholz , MD

Family Medicine

NPI 1275972051

Doctor of Medicine (M.D.)

NPI 1326051442

Registered Pharmacist

Dr. Thomas Scott , MD

Internal Medicine

NPI 1376603043

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Counselor (License #LPC5631 in CO)

📍
Updated Practice Location September 19, 2023

Registered at 1005 N EASTMAN RD STE G2, LONGVIEW, TX 756014231 (Tel: 9032478262)

📍
Updated Business Mailing Address September 19, 2023

Registered at 111 POLK ST, LONGVIEW, TX 756039666 (Tel: 9036196619)

👤
Provider Name / Credentials Updated September 19, 2023

Recorded as DONNA RAKIDZICH, LPC

NPI Profile Active January 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2014

Registered at 3595 E FOUNTAIN BLVD, SUITE G2, COLORADO SPRINGS, CO 809101733 (Tel: 7192008345)

📍
Updated Business Mailing Address January 13, 2014

Registered at 3595 E FOUNTAIN BLVD, SUITE G2, COLORADO SPRINGS, CO 809101733 (Tel: 7192008345)

👤
Provider Name / Credentials Updated January 13, 2014

Recorded as DONNA MATHES, NCC, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2014

Counselor (License #LPC5631 in CO)

🟢
Initial NPI Registration & Enumeration January 13, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215359013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2014
Last Update: November 18, 2024
Sole Proprietor: No

Mailing Address

111 Polk St

Longview, TX 756039666

Phone: 9036196619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.