Individual provider Active NPI

Rebekah Robin Bernard, LMHC

  • Mental Health Counselor
  • Grafton, MA
National Provider Identifier
1194230730
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13076-MH-CC Issued in MA
Practice address
23 Upton St., #410
Grafton, MA 01519
Phone
(401) 636-1682
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-443 HI
Mental Health Counselor 101YM0800X 13076-MH-CC MA Primary

Addresses

Primary practice location

23 Upton St., #410
Grafton, MA 01519

Mailing address

23 Upton St Unit 410
Grafton, MA 01519-1481
Phone (401) 636-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240117003157 MA Practitioner - Mental Health Counselor 9133571953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 Upton St
Unit 410
Grafton, MA 01519-1481
Phone (401) 636-1682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-443HIMDMental Health Counselor
13076-MH-CCMAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hoohana Counseling Ma LLC Mental Health CurrentSince Oct 22, 2024 Accepting new patients

Locations

23 Upton St
Unit 410
Grafton, MA 01519
Phone (401) 636-1682

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1194230730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 UPTON ST UNIT 410",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191481",
            "telephone_number": "401-636-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPTON ST., #410",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "01519",
            "telephone_number": "401-636-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "REBEKAH",
        "middle_name": "ROBIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-443",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "13076-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, MA

Sources for this page

Verify at the official NPI Registry.