Rebecca Pack, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0007806 Issued in OH

Practice address

575 Industrial Pkwy
Heath, OH 43056-1647

Phone

(740) 618-8388

Fax

(740) 522-4673

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ace Psychological Services LLCGroup PAC ID 7810217536, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ace Psychological Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Heath, OH
  • NPI 1033515333
  Medicare reassignment Care Compare group NPD
• Hands of Hope Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Heath, OH
  • NPI 1477872232
  NPD (past)
• Winds of Change Counseling

  • Professional Counselor
  • Heath, OH
  • NPI 1669970463
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1083797336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HANKINSON RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239701",
            "telephone_number": "740-975-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 INDUSTRIAL PKWY",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561647",
            "telephone_number": "740-618-8388",
            "fax_number": "740-522-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.