Individual provider Active NPI

Rebekah Ilene Nazarchuk, M.S.

  • Professional Counselor
  • Clarks Summit, PA
National Provider Identifier
1134460785
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
112 Marion St
Clarks Summit, PA 18411-1812
Phone
(570) 430-0913
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

112 Marion St
Clarks Summit, PA 18411-1812

Mailing address

116 Larch St FL 3
Scranton, PA 18509-2802
Phone (570) 489-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022001543 PA Practitioner - Mental Health Counselor 7012449549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron Center, Inc.Group PAC ID 4880691732, 4 clinicians

Practice addresses (Care Compare)

116 Larch St
Suite 300
Scranton, PA 18509-2802
Phone (570) 489-5561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

116 Larch St
Ste 300
Scranton, PA 18509

851 Commerce Blvd
Ste 107
Scranton, PA 18519
Phone (570) 302-4242

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1134460785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LARCH ST FL 3",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092802",
            "telephone_number": "570-489-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARION ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111812",
            "telephone_number": "570-430-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARCHUK",
        "first_name": "REBEKAH",
        "middle_name": "ILENE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.