Active NPI
Rebecca Ricker Sato, LPC-ASSOCIATE
- Mental Health Counselor
- Round Rock, TX
National Provider Identifier
1043542764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91688
- Practice address
- 3000 Joe Dimaggio Blvd Ste 86
Round Rock, TX 78665-3992 - Phone
- (512) 298-2440
- Fax
- (512) 671-9415
- NPI assigned
- Feb 4, 2010
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91688 | TX | Primary |
Addresses
Primary practice location
3000 Joe Dimaggio Blvd Ste 86
Round Rock, TX 78665-3992
Mailing address
3000 Joe Dimaggio Blvd Ste 86
Round Rock, TX 78665-3992
Phone (512) 298-2440
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 |
|---|---|---|---|
| 91688 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Urbanek LPC NCC PLLC | Mental Health | Past | Accepting new patients |
| Jessica Lynn Warren | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1043542764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 86",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653992",
"telephone_number": "512-298-2440",
"fax_number": "512-671-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 86",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653992",
"telephone_number": "512-298-2440",
"fax_number": "512-671-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "REBECCA",
"middle_name": "RICKER",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "91688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.