Rebecca Rae Jeske, PLPC

Individual provider Active NPI Professional Counselor · Lexington, MO

NPI 1043686728 · NPPES record last updated Jun 23, 2016

Key facts

NPI
1043686728
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2015028817 (MO)
Practice address
109 S 10TH St
Lexington, MO 64067-1364
Phone
(660) 259-3900
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015028817MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling & Training LLC Professional Past
since Apr 30, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015028817 MO Yes

Addresses

Primary practice location

109 S 10TH St
Lexington, MO 64067-1364

Mailing address

109 S 10TH St
Lexington, MO 64067-1364
Phone (660) 259-3900

Other providers in Lexington, MO

All providers in Lexington, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.