Rebecca Faith Rich-Fidler, MA, LPCC, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1901547 Issued in OH

Practice address

30811 Lake Logan Rd
Logan, OH 43138-9546

Phone

(740) 603-6165

Fax

(740) 777-4014

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R F Rich-FidlerGroup PAC ID 3971049222, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• R F Rich-Fidler

  • Community/Behavioral Health Agency
  • Logan, OH
  • NPI 1861023459
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1073010815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30811 LAKE LOGAN RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389546",
            "telephone_number": "740-603-6165",
            "fax_number": "740-777-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30811 LAKE LOGAN RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389546",
            "telephone_number": "740-603-6165",
            "fax_number": "740-777-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH-FIDLER",
        "first_name": "REBECCA",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161951",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R F Rich-Fidler
• George T Ralph, MD
• Pamela Ramage
• Emilie Redman, PHARMD, RPH
• Erin Denise Ribo, CNP
• Rachel L. Riel, PA
• Mary Lou Riggs, RN
• Gregory Anthony Rimkus, PT
• Edgardo H Rivera, MD
• Dava Roberts

• Professional Counselor in Logan, OH
• Providers in Logan, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.