Organization Active NPI

Rebecca Anne Longstreet, PLLC

  • Professional Counselor
  • Sterling Heights, MI
National Provider Identifier
1053076752
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REBECCA ANNE LONGSTREET, PLLC
Practice address
44777 Hayes Rd
Sterling Heights, MI 48313-1421
Phone
(248) 274-6442
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Rebecca Longstreet, MA, LPC, NCCNPI 1225465990
Title
Therapist
Phone
(248) 762-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

44777 Hayes Rd
Sterling Heights, MI 48313-1421

Mailing address

13425 Bernadette CT
Sterling Heights, MI 48313-3403

National Provider Directory

National Provider Directory

Locations

44777 Hayes Rd
Sterling Heights, MI 48313
Phone (248) 274-6442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1053076752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 BERNADETTE CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44777 HAYES RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131421",
            "telephone_number": "248-274-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA ANNE LONGSTREET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "LONGSTREET",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-762-4011",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.