Individual provider Active NPI

Rebekah McCullough

  • Mental Health Counselor
  • Selah, WA
National Provider Identifier
1063847580
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
107 W Orchard Ave
Selah, WA 98942
Phone
(714) 782-4995
Fax
(509) 698-2744
NPI assigned
Sep 4, 2013
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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 NU Primary

Addresses

Primary practice location

107 W Orchard Ave
Selah, WA 98942

Mailing address

1007 Schoentrup LN
Zillah, WA 98953-9667
Phone (714) 782-4995

Other practice location 1

402 S 4th Ave
Yakima, WA 98902-3546
Phone (509) 575-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1063847580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SCHOENTRUP LN",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539667",
            "telephone_number": "714-782-4995",
            "fax_number": "509-698-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W ORCHARD AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "98942",
            "telephone_number": "714-782-4995",
            "fax_number": "509-698-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023546",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "fax_number": "509-225-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "REBEKAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.