Organization Active NPI

Rebecca Rand Counseling LLC

  • Mental Health Counselor
  • Eagle, ID
National Provider Identifier
1013514728
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REBECCA RAND COUNSELING LLC
Practice address
136 S Academy Ave Ste G
Eagle, ID 83616-6541
Phone
(208) 912-6621
Fax
(208) 939-9110
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Monica Mathis
Title
Biller
Phone
(954) 261-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

136 S Academy Ave Ste G
Eagle, ID 83616-6541

Mailing address

2886 E Fern Brook Dr
Eagle, ID 83616-6602
Phone (208) 912-6621

National Provider Directory

National Provider Directory

Locations

136 S Academy Ave
Ste G
Eagle, ID 83616
Phone (208) 912-6621

136 S Academy Ave
Ste C
Eagle, ID 83616
Phone (208) 761-5135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1013514728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 E FERN BROOK DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166602",
            "telephone_number": "208-912-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S ACADEMY AVE STE G",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166541",
            "telephone_number": "208-912-6621",
            "fax_number": "208-939-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA RAND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "954-261-2935"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.