Individual provider Active NPI

Carlee Rebstock, LPC-A, ASOTP

  • Professional Counselor
  • Southlake, TX
National Provider Identifier
1093665309
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
99660 Issued in TX
Practice address
231 E Southlake Blvd Ste 100
Southlake, TX 76092-6291
Phone
(815) 822-5473
NPI assigned
Jan 28, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 99946 TX
Professional Counselor 101YP2500X 99660 TX Primary

Addresses

Primary practice location

231 E Southlake Blvd Ste 100
Southlake, TX 76092-6291

Mailing address

2355 Lebanon Rd Apt 7305
Frisco, TX 75034-6474
Phone (815) 822-5473

Other practice location 1

8204 Elmbrook Dr Ste 305I
Dallas, TX 75247-4080
Phone (815) 822-5473

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

State licenses

LicenseStateTypeSpecialty
99660TXMDProfessional Counselor
99946TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1093665309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 LEBANON RD APT 7305",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346474",
            "telephone_number": "815-822-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926291",
            "telephone_number": "815-822-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8204 Elmbrook Dr Ste 305I",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752474080",
            "country_code": "US",
            "telephone_number": "815-822-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBSTOCK",
        "first_name": "CARLEE",
        "credential": "LPC-A, ASOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "99946",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "99660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.