Active NPI
Rebecca Lynn Williamson, M.S.
- Mental Health Counselor
- Chico, CA
National Provider Identifier
1053620807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF62791
- Practice address
- 130 Yellowstone Dr
Suite 100
Chico, CA 95973-5884 - Phone
- (530) 893-4245
- Fax
- (530) 897-3712
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | IMF62791 | CA | Primary |
Addresses
Primary practice location
130 Yellowstone Dr
Suite 100
Chico, CA 95973-5884
Mailing address
130 Yellowstone Dr
Suite 100
Chico, CA 95973-5884
Phone (530) 893-4245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF62791 | CA | MD | Mental Health Counselor |
| 87668 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.a. | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
8059 W Preece Dr
Boise, ID 83704
Phone (208) 550-3112
159 Frontage Rd
Manchester, NH 03103
Phone (800) 604-3994
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1609335660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1053620807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 YELLOWSTONE DR",
"address_2": "SUITE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959735884",
"telephone_number": "530-893-4245",
"fax_number": "530-897-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 YELLOWSTONE DR",
"address_2": "SUITE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959735884",
"telephone_number": "530-893-4245",
"fax_number": "530-897-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF62791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.