Rebecca Elizabeth Widmer, LPC, CDC-I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

184047 Issued in AK

Practice address

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Phone

(907) 729-3300

NPI assigned

May 13, 2019

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba Tribal- McGrath Regional Health Center

  • Multi-Specialty Clinic/Center
  • McGrath, AK
  • NPI 1063467223
  NPD
• Southcentral Foundation

  dba SUD 1115- Dena A Coy

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1699329003
  NPD
• Southcentral Foundation

  dba Tribal- Nondalton Clinic

  • Community Health Clinic/Center
  • Nondalton, AK
  • NPI 1740659192
  NPD
• Southcentral Foundation

  dba Tribal-Nilavena Regional Health Center

  • Multi-Specialty Clinic/Center
  • Iliamna, AK
  • NPI 1912954272
  NPD
• Southcentral Foundation

  dba 1115-Rural Behavioral Health

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1639722069
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1194381434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-9989",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Elmore Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085907",
            "country_code": "US",
            "telephone_number": "907-729-6690 x4",
            "fax_number": "907-729-6699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDMER",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPC, CDC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "184047",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Family Integrated Wellness LLC
• Wholistic Massage LLC
• Bonnie R. Wickes, PSY.D.
• W. Laurence Wickler, D.O.
• David Widdison
• Gary Lee Wiebel Jr., MSW
• Elizabeth Chang Wiegele, RN
• Joel B Wieman, PH.D.
• Tracey L Wiese, APRN
• Keith Wiger, PHD

• Professional Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.