Individual provider Active NPI

Rebecca Ann Yarbrough, LCPC-CC

  • Mental Health Counselor
  • Lewiston, ME
National Provider Identifier
1104013267
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL3511 Issued in ME
Practice address
151 N. Temple Streeet
Thomas J. McMahon Elementry School
Lewiston, ME 04240-3350
Phone
(207) 615-5704
Fax
(207) 795-4140
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL3511 ME Primary

Addresses

Primary practice location

151 N. Temple Streeet
Thomas J. McMahon Elementry School
Lewiston, ME 04240-3350

Mailing address

25 Westminister St.
Lewiston, ME 04240-3350
Phone (207) 615-5704

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
XL3511MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1104013267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WESTMINISTER ST.",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403350",
            "telephone_number": "207-615-5704",
            "fax_number": "207-795-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N. TEMPLE STREEET",
            "address_2": "THOMAS J. MCMAHON ELEMENTRY SCHOOL",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403350",
            "telephone_number": "207-615-5704",
            "fax_number": "207-795-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCPC-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.