Active NPI
Rebecca L Davis, LPC-IT, SAC
- Professional Counselor
- Janesville, WI
National Provider Identifier
1033570882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2654-226
- Practice address
- 903 Mineral Point Ave
Janesville, WI 53548-2970 - Phone
- (608) 756-6530
- Fax
- (608) 756-6564
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1831448091
Professional, WI
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Associates in Psychotherapy LLC
Practice addresses (Care Compare)
4700 Dresser Dr
Suite 100
Janesville, WI 53546-9160
Phone (608) 752-7255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314002685 | WI | Practitioner - Mental Health Counselor | 9234575077 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16081-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 2654-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Psychotherapy, LLC | Professional | Current | Accepting new patients |
Locations
4700 Dresser Dr
Ste 100
Janesville, WI 53546
Phone (608) 752-7255
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2654-226 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16081-131 | WI |
Addresses
NPPES NPI RegistryPrimary practice location
903 Mineral Point Ave
Janesville, WI 53548-2970
Mailing address
903 Mineral Point Ave
Janesville, WI 53548-2970
Phone (608) 756-6530
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033570882 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Rebecca L Knox
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2016.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1033570882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482970",
"telephone_number": "608-756-6530",
"fax_number": "608-756-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482970",
"telephone_number": "608-756-6530",
"fax_number": "608-756-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "LPC-IT, SAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2654-226",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16081-131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033570882",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "KNOX",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.