Active NPI
Rebecca Devereaux Lee, M.S., LMFT
- Marriage & Family Therapist
- Mountain BRK, AL
National Provider Identifier
1083255442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L523
- Practice address
- 6 Office Park Cir Ste 316
Mountain BRK, AL 35223-2542 - Phone
- (205) 599-0149
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | L523 | AL | Primary |
Addresses
Primary practice location
6 Office Park Cir Ste 316
Mountain BRK, AL 35223-2542
Mailing address
2522 Beverly Dr
Mountain BRK, AL 35223-1116
Phone (205) 960-3432
Other practice location 1
1713 6th Avenue S
Birmingham, AL 35249-0001
Phone (205) 934-2554
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L523 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1083255442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 BEVERLY DR",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352231116",
"telephone_number": "205-960-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OFFICE PARK CIR STE 316",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232542",
"telephone_number": "205-599-0149"
}
],
"practiceLocations": [
{
"address_1": "1713 6th Avenue S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352490001",
"country_code": "US",
"telephone_number": "205-934-2554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "REBECCA",
"middle_name": "DEVEREAUX",
"credential": "M.S., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain BRK, AL
- Leach Pharmacies, LLC (Crestline Pharmacy LTC)
- Leach Pharmacies, LLC (Crestline Pharmacy LTC)
- Leah Riley Counseling LLC (Leah Riley Counseling)
- Deborah Elizabeth Lechner, PT
- Margaret Ashley Lee, LICSW
- Julie H Lemke, RN
- Delia Lewis, MA, ALC
- Lifecare for Seniors
- Lisa Keane Counseling, LLC
- Liz Ogletree Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.