Rebecca Perehudoff Minton, MA, ATR, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007090 Issued in IL

Practice address

4923 Main St
Downers Grove, IL 60515-3654

Phone

(630) 206-0272

NPI assigned

May 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Perehudoff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1053722207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 WAUBANSEE DR",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605254365",
            "telephone_number": "708-363-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153654",
            "telephone_number": "630-206-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREHUDOFF MINTON",
        "first_name": "REBECCA",
        "credential": "MA, ATR, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PEREHUDOFF",
            "credential": "MA, ATR, LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Personal Path

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.