Rebecca Sue Noffke, LLMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801099302 Issued in MI

Practice address

1505 Waterford Pkwy
Saint Johns, MI 48879-9630

Phone

(989) 668-0700

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1144720129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 1ST NORTH ST",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489651",
            "telephone_number": "517-213-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-668-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFKE",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801099302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Michigan Physicians, PC
• Tia M Moore
• Brie Morris, PA
• Justin Allen Morris, PA-C
• Caitlin R Mosley, LLPC
• North Wilton Health PLLC
• Novus Michigan Professional Corporation
• Nursepro Nursing Services
• Elizabeth Ann Olson, ED.D.
• Matthew Olson, LPC

• Mental Health Counselor in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.