Individual provider Active NPI

Rebecca Sue Nesler, PLPC

  • Professional Counselor
  • Cape Girardeau, MO
National Provider Identifier
1053905463
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021005297 Issued in MO
Practice address
112 S Broadview St
Cape Girardeau, MO 63703-5759
Phone
(573) 334-3486
Fax
(573) 334-3524
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 2021005297 MO Primary

Addresses

Primary practice location

112 S Broadview St
Cape Girardeau, MO 63703-5759

Mailing address

112 S Broadview St
Cape Girardeau, MO 63703-5759
Phone (573) 334-3486

Other practice location 1

404 E Center St
Sikeston, MO 63801-4233
Phone (573) 334-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260430004162 MO Practitioner - Mental Health Counselor 5294202867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vision Youth and Family Services IncGroup PAC ID 7911963194, 3 clinicians

Practice addresses (Care Compare)

112 S Broadview St
New Vision Counseling
Cape Girardeau, MO 63703-5759
Phone (573) 334-3486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021005297MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Youth and Family Services Inc Professional CurrentSince Mar 1, 2021 Accepting new patients

Locations

2751 Thomas Dr
Ste 102
Cpe Girardeau, MO 63701
Phone (573) 334-3486

112 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 334-3486

404 E Center St
Sikeston, MO 63801
Phone (573) 334-3486

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.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1053905463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035759",
            "telephone_number": "573-334-3486",
            "fax_number": "573-334-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035759",
            "telephone_number": "573-334-3486",
            "fax_number": "573-334-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 E Center St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638014233",
            "country_code": "US",
            "telephone_number": "573-334-3486",
            "fax_number": "573-334-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESLER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021005297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.