Rebekah Shunkwiler Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1588 Issued in NE

Legal business name

REBEKAH SHUNKWILER COUNSELING SERVICES, LLC

Practice address

1811 W 2ND St
Suite 360
Grand Island, NE 68803-5413

Phone

(308) 385-8404

NPI assigned

Mar 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebekah Shunkwiler, LIMHP, PLADC

Title

Dual Diagnosis Therapist

Phone

(308) 385-8404

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1003347378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "PALMER",
            "state": "NE",
            "postal_code": "688640181",
            "telephone_number": "308-385-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 2ND ST",
            "address_2": "SUITE 360",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035413",
            "telephone_number": "308-385-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH SHUNKWILER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SHUNKWILER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "DUAL DIAGNOSIS THERAPIST",
        "authorized_official_telephone_number": "308-385-8404",
        "authorized_official_credential": "LIMHP, PLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1093",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245643717",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3919012900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.