Rebecca Lee Pelletier, CSC, MSSC

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

617479 Issued in FL

Practice address

640 N Nova Rd Apt 201
Ormond Beach, FL 32174-4410

Phone

(386) 259-0084

NPI assigned

Jan 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rebecca Lee Kannaday Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1023829355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N NOVA RD APT 201",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744410",
            "telephone_number": "386-259-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N NOVA RD APT 201",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744410",
            "telephone_number": "386-259-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CSC, MSSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "617479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KANNADAY",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "MS IN ESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Counselor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• School Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.