Individual provider Active NPI

David A. Rehovsky, MS,LMHP,PA

  • Professional Counselor
  • Grand Island, NE
National Provider Identifier
1003967670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1001 Issued in NE
Practice address
712 W Koenig St
Grand Island, NE 68801-6556
Phone
(308) 382-4495
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1001 NE Primary

Addresses

Primary practice location

712 W Koenig St
Grand Island, NE 68801-6556

Mailing address

712 W Koenig St
Grand Island, NE 68801-6556
Phone (308) 382-4495

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
Credentials
Master of Science, Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003967670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016556",
            "telephone_number": "308-382-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016556",
            "telephone_number": "308-382-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHOVSKY",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "MS,LMHP,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.