Active NPI
Rebecca Holkenbrink, LCPC
- Professional Counselor
- Effingham, IL
National Provider Identifier
1013542869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180012760
- Practice address
- 1106 N Merchant St
Effingham, IL 62401-2128 - Phone
- (217) 342-7000
- Fax
- (217) 342-7002
- NPI assigned
- Mar 11, 2020
- Last updated
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180012760 | IL | Primary |
Addresses
Primary practice location
1106 N Merchant St
Effingham, IL 62401-2128
Mailing address
1106 N Merchant St
Effingham, IL 62401-2128
Phone (217) 342-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.holdenbrink@familycare.eclinicaldirectplus.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 N Merchant St
Effingham, IL 62401-2128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCDAA/Endpoint/ICCDAA
- rebecca.holkenbrink@famcare.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1649255266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1013542869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 N MERCHANT ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012128",
"telephone_number": "217-342-7000",
"fax_number": "217-342-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N MERCHANT ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012128",
"telephone_number": "217-342-7000",
"fax_number": "217-342-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLKENBRINK",
"first_name": "REBECCA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012760",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebecca.holdenbrink@familycare.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Use this address for Rebecca Holkenbrink, LCPC Family Care Associates",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1106 N Merchant St",
"city": "Effingham",
"state": "IL",
"country_code": "US",
"postal_code": "624012128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.