Rebecca Caroline Pettefer, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC10015 Issued in LA

Practice address

1117 Kirkman St
Lake Charles, LA 70601-5317

Phone

(337) 414-8379

NPI assigned

Feb 21, 2024

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Area Counseling, LLC

  • Professional Counselor
  • Lake Charles, LA
  • NPI 1255973400
  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1154186856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N COVEY LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051316",
            "telephone_number": "337-429-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015317",
            "telephone_number": "337-414-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTEFER",
        "first_name": "REBECCA",
        "middle_name": "CAROLINE",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred H Pete
• Jessica Pete, PHARM.D.
• Kristie Pete, RN
• Kacie Webb Peterson, MA, CCC-L/SLP
• Linda R Peterson, OT
• Christe Hester Pettis, M.A., CCC-SLP
• Michael Rand Pettit, PHARMD
• Robin P Pettit, PHARMD
• PGF Transportation LLC
• Tuananh Minh Pham, M.D.

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.