Individual provider Active NPI

Rebekah J Hodge, BMS

  • Mental Health Counselor
  • Portales, NM
National Provider Identifier
1053644468
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0157371 Issued in NM
Practice address
220 W 2ND St
Portales, NM 88130-6232
Phone
(575) 356-2223
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0157371 NM Primary

Addresses

Primary practice location

220 W 2ND St
Portales, NM 88130-6232

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220
Phone (505) 471-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715004122 NM Practitioner - Mental Health Counselor 8123563061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0157371NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Recovery Toolbox LLC Current Accepting new patients
Duke City Recovery Toolbox LLC CurrentSince May 30, 2024 Accepting new patients

Locations

5901 Zuni Rd SE
Albuquerque, NM 87108
Phone (505) 224-9777

912 1st St NW
Albuquerque, NM 87102
Phone (505) 224-9777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1053644468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28220",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928220",
            "telephone_number": "505-471-5006",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 2ND ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306232",
            "telephone_number": "575-356-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "REBEKAH",
        "middle_name": "J",
        "credential": "BMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0157371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.