Active NPI
Rebecca Lighthart
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1003453085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IC-1764
- Practice address
- 4005 Rubidoux Dr
Las Vegas, NV 89108-5517 - Phone
- (702) 600-5575
- NPI assigned
- Dec 9, 2019
- Reactivated
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | IC-1764 | NV | Primary |
Addresses
Primary practice location
4005 Rubidoux Dr
Las Vegas, NV 89108-5517
Mailing address
4005 Rubidoux Dr
Las Vegas, NV 89108-5517
Phone (702) 600-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IC-1764 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1003453085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 RUBIDOUX DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891085517",
"telephone_number": "702-600-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 RUBIDOUX DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891085517",
"telephone_number": "702-600-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTHART",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"deactivation_date": "2021-05-23",
"reactivation_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "IC-1764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.