Rebecca Kirk, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

113 Executive Dr
Madison, MS 39110-8498

Phone

(601) 707-5045

Fax

(601) 707-5045

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By 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

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1164822839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EXECUTIVE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108498",
            "telephone_number": "601-707-5045",
            "fax_number": "601-707-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EXECUTIVE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108498",
            "telephone_number": "601-707-5045",
            "fax_number": "601-707-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer King Laxson, D.M.D.
• Billy Wayne King, RPH
• Caitlyn Watts King
• Elizabeth Kinney, SLP
• Kristopher Kinser
• Harold Kolodney, Jr., D. M. D.
• Veronica A Kon Graversen, M.D.
• Kevin Kosek, M. D.
• Mark Gill Kosko, M.D.
• Sarah Ann Kowalczyk, BCBA

• Professional Counselor in Madison, MS
• Providers in Madison, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.