Individual provider Active NPI

Rebekah Skahill, LCMHC12145

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1104299460
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12145 Issued in NC
Practice address
1035C Director CT
Greenville, NC 27858-5996
Phone
(252) 943-5265
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCAS-21920 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21920 NC
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LCAS-21920 NC
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 12145 NC Primary

Addresses

Primary practice location

1035C Director CT
Greenville, NC 27858-5996

Mailing address

1814 Bloomsbury Rd
Greenville, NC 27858-9612
Phone (252) 943-5265

Other identifiers 1

IdentifierTypeStateIssuer
1104299460MedicaidNC

Other names 1

  • Rebekah Skahill Other name

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
12145NCMDMental Health Counselor
LCAS-21920NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Wellness Center PLLC Single Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1104299460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BLOOMSBURY RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589612",
            "telephone_number": "252-943-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035C DIRECTOR CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585996",
            "telephone_number": "252-943-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAHILL",
        "first_name": "REBEKAH",
        "credential": "LCMHC12145",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LCAS-21920",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21920",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCAS-21920",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104299460",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "SKAHILL",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.