Individual provider Active NPI

Rebekah Shelton, LPC

  • Professional Counselor
  • Martinsville, VA
National Provider Identifier
1154087195
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010993 Issued in VA
Practice address
445 Commonwealth Blvd E
Martinsville, VA 24112-2086
Phone
(276) 632-1113
Fax
(276) 632-0923
NPI assigned
Nov 15, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010993 VA Primary

Addresses

Primary practice location

445 Commonwealth Blvd E
Martinsville, VA 24112-2086

Mailing address

445 Commonwealth Blvd E
Martinsville, VA 24112-2086
Phone (276) 632-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250430002626 VA Practitioner - Mental Health Counselor 0446776629 Practice locations: Chatham, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701010993VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1154087195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122086",
            "telephone_number": "276-632-1113",
            "fax_number": "276-632-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122086",
            "telephone_number": "276-632-1113",
            "fax_number": "276-632-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "REBEKAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.