Individual provider Active NPI

Rebecca Kay Newcomer, LCPC

  • Professional Counselor
  • Danville, IL
National Provider Identifier
1073081444
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.003068 Issued in IL
Practice address
1101 E Winter Ave
Danville, IL 61832-2295
Phone
(217) 651-6801
Fax
(217) 651-6802
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 180.003068 IL Primary

Addresses

Primary practice location

1101 E Winter Ave
Danville, IL 61832-2295

Mailing address

302 Second Street
Redmon, IL 61949
Phone (217) 264-0113

Other names 1

  • Rebecca Kay Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240611000743 IL Practitioner - Mental Health Counselor 3678015211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

745 E Court St
Paris, IL 61944-2460
Phone (217) 465-4118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.003068ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Human Resources Center of Edgar and Clark Counties CurrentSince Mar 24, 2024 Accepting new patients
Human Resources Center of Edgar and Clark Counties CurrentSince Mar 24, 2024 Accepting new patients

Locations

402 N 2ND St
Marshall, IL 62441
Phone (217) 826-6212

745 E Court St
Paris, IL 61944
Phone (217) 465-4118

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hrcec/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1073081444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SECOND STREET",
            "city": "REDMON",
            "state": "IL",
            "postal_code": "61949",
            "telephone_number": "217-264-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WINTER AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322295",
            "telephone_number": "217-651-6801",
            "fax_number": "217-651-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMER",
        "first_name": "REBECCA",
        "middle_name": "KAY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WOOD",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.