Rebecca Jordan Tatum, LPC, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-21526 Issued in AZ

Practice address

14301 N 87TH St Ste 206
Scottsdale, AZ 85260-3689

Phone

(480) 788-6568

NPI assigned

Jan 13, 2021

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

Other names 1

• Rebecca Jordan Cheney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 17, 2024 through Dec 17, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1093304149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17422 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222233",
            "telephone_number": "623-237-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 N 87TH ST STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603689",
            "telephone_number": "480-788-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "REBECCA",
        "middle_name": "JORDAN",
        "credential": "LPC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-21526",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "16875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CHENEY",
            "middle_name": "JORDAN",
            "credential": "LAC, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Tately, ND
• Janet Elaine Tatman, PHD, PA-C
• Jennifer Tatrai
• Coddie L Tatro, NP-C
• Debra A Tatum, M.D.
• Erica Tatumsheade, LCSW
• Michelle Taus, M.A.
• Telisha Leohoni Tausinga, MD
• Jennifer Renee Tavani, PA-C
• Audrey Sharon Taylor-Wood, LCSW

• Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.