Active NPI
Rebecca Kaufman, LPC
- Mental Health Counselor
- Stafford, VA
National Provider Identifier
1023432374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701006815
- Practice address
- 24 Stoneridge CT
Stafford, VA 22554-7915 - Phone
- (912) 713-4416
- NPI assigned
- Feb 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 06444 | GA | |
| Mental Health Counselor | 101YM0800X | 0701006815 | VA | Primary |
Addresses
Primary practice location
24 Stoneridge CT
Stafford, VA 22554-7915
Mailing address
24 Stoneridge CT
Stafford, VA 22554-7915
Phone (912) 713-4416
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 |
|---|---|---|---|
| 06444 | GA | MD | Mental Health Counselor |
| 0701006815 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1023432374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 STONERIDGE CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547915",
"telephone_number": "912-713-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 STONERIDGE CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225547915",
"telephone_number": "912-713-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "REBECCA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "06444",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701006815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.