Individual provider Active NPI

Rebecca Drue Hovermale

  • Professional Counselor
  • Bellevue, PA
National Provider Identifier
1053155440
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC00116 Issued in PA
Practice address
570 Lincoln Ave
Bellevue, PA 15202-3530
Phone
(412) 223-7914
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC00116 PA Primary

Addresses

Primary practice location

570 Lincoln Ave
Bellevue, PA 15202-3530

Mailing address

570 Lincoln Ave
Bellevue, PA 15202-3530
Phone (412) 223-7914

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

LicenseStateTypeSpecialty
APC00116PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mentwell Inc. Past Accepting new patients

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, 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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1053155440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023530",
            "telephone_number": "412-223-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023530",
            "telephone_number": "412-223-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERMALE",
        "first_name": "REBECCA",
        "middle_name": "DRUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC00116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.