Mark Rembecki, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000173977 Issued in MO

Practice address

1303 Edgewood Dr
Jefferson City, MO 65109-1943

Phone

(573) 645-0674

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1154990950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 GREEN MEADOW DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012320",
            "telephone_number": "573-645-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 EDGEWOOD DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091943",
            "telephone_number": "573-645-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBECKI",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000173977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.rembecki@dmh.mo.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1303 Edgewood Dr",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651091943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Beth Reid, PTA
• Staci D Reinert, FNP-C
• Elishua Lola Bea Reingold, CRNA
• Julie Marie Reinkemeyer
• Kelly Reinkemeyer
• Sarah A Rembecki, CPNP
• Jaime Renee Renfro, FNP
• Reorganized School District 2 of Cole County (Blair Oaks R-II)
• Johnny Restrepo, DC
• Kendall Reynolds

• Professional Counselor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.