Active NPI
Rebel Care Counseling & Wellness, PLLC
- Mental Health Counselor
- Mocksville, NC
National Provider Identifier
1063196715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REBEL CARE COUNSELING & WELLNESS, PLLC
- Practice address
- 201 Winding Creek Rd
Mocksville, NC 27028-2689 - Phone
- (980) 330-1428
- NPI assigned
- Jun 13, 2023
- Last updated
- Jun 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Elizabeth Swiatek, NCC, LCMHCA
- Title
- Professional Counselor
- Phone
- (980) 330-1428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
201 Winding Creek Rd
Mocksville, NC 27028-2689
Mailing address
201 Winding Creek Rd
Mocksville, NC 27028-2689
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Mocksville, NC
- NPI 1457006116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1063196715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 WINDING CREEK RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WINDING CREEK RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282689",
"telephone_number": "980-330-1428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBEL CARE COUNSELING & WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "SWIATEK",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "980-330-1428",
"authorized_official_credential": "NCC, LCMHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mocksville, NC
- Hannah Prillaman, LCMHCA
- Proactive MD NC, PC (Proactive MD - Brakebush Health Center - Mocksville)
- PS Senior Living of Mocksville LLC
- Demetri Psihogios, PHARMD
- Virginia Randall
- William O Renfroe, MD
- Rha Health Services Inc
- Rha Health Services NC, LLC
- Rha Health Services NC, LLC
- Rha Health Services NC, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.