Rebecca Bakke, M.A., LPC
Individual provider Active NPI Professional Counselor · Little Rock, AR
NPI 1093828063 · NPPES record last updated Apr 13, 2016
Key facts
- NPI
- 1093828063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.006721 (IL)
- Practice address
- 12115 Hinson Rd
Suite 400
Little Rock, AR 72212-3474 - Phone
- (501) 224-0318
- Fax
- (501) 224-0354
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1603031 | AR | MD | Professional Counselor |
| 178.006721 | IL | MD | Professional Counselor |
| 2011003229 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Valley Counseling Center | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.006721 | IL | Yes |
| Professional Counselor | 101YP2500X | 2011003229 | MO | |
| Professional Counselor | 101YP2500X | P1603031 | AR |
Addresses
Primary practice location
12115 Hinson Rd
Suite 400
Little Rock, AR 72212-3474
Mailing address
12115 Hinson Rd
Suite 400
Little Rock, AR 72212-3474
Phone (501) 224-0318
Other providers in Little Rock, AR
- Tonya Baker
- Tracy Elaine Baker
- Verna M Baker
- Maham Bakhtyar
- Joseph C. Bakke
- Balance Your Life Inc
- Balanced Mama, LLC
- Balanced Space Counseling Services, PLLC
- Ramya Balasubramanian
- Jennifer Balch
All providers in Little Rock, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.