NPIMap

Organization Active NPI

Rebecca Frock Ma, LPCC

  • Preferred Provider Organization
  • Albuquerque, NM
National Provider Identifier
1053860585
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1314 Issued in NM
Legal business name
REBECCA FROCK MA, LPCC
Practice address
320 Osuna Rd NE
Suite 4H
Albuquerque, NM 87107-5952
Phone
(505) 507-9087
Fax
(505) 345-2878
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mrs. Rebecca Frock, LPCCNPI 1922061795
Title
Owner, Clinical Counselor
Phone
(505) 507-9087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1314 NM Primary

Addresses

Primary practice location

320 Osuna Rd NE
Suite 4H
Albuquerque, NM 87107-5952

Mailing address

320 Osuna Rd NE
Suite 4H
Albuquerque, NM 87107-5952
Phone (505) 507-9087

Other identifiers 1

IdentifierTypeStateIssuer
82179816MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1053860585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE",
            "address_2": "SUITE 4H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075952",
            "telephone_number": "505-507-9087",
            "fax_number": "505-345-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE",
            "address_2": "SUITE 4H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075952",
            "telephone_number": "505-507-9087",
            "fax_number": "505-345-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA FROCK MA, LPCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "FROCK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "505-507-9087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NM",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82179816",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.