Individual provider Active NPI

Rebeca Elisama Meyer, MS, LPC-ASSOCIATE

  • Mental Health Counselor
  • Texas City, TX
National Provider Identifier
1194594432
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92157 Issued in TX
Practice address
9850C Emmett F Lowry Expy Ste C
Texas City, TX 77591-2122
Phone
(409) 938-2234
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 92157 TX Primary

Addresses

Primary practice location

9850C Emmett F Lowry Expy Ste C
Texas City, TX 77591-2122

Mailing address

11930 29TH St
Santa Fe, TX 77510-8819
Phone (409) 692-7752

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240228002062 TX Practitioner - Mental Health Counselor 9931544095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Health and WellnessGroup PAC ID 0143215954, 12 clinicians

Practice addresses (Care Compare)

4700 Broadway St
Suite 100
Galveston, TX 77551-4241
Phone (409) 938-2234

9850 C Emmett F Lowry Expy
Suite C103
Texas City, TX 77591-2122
Phone (409) 938-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
92157TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Jan 17, 2024 Accepting new patients
Coastal Health & Wellness CurrentSince Jan 17, 2024 Accepting new patients
Coastal Health & Wellness Current Accepting new patients

Locations

4700 Broadway St
Ste F100
Galveston, TX 77551
Phone (409) 763-7273

9850 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-2230

9850 Emmett F Lowry Expy
Ste C
Texas City, TX 77591
Phone (409) 938-2234

1805 13th Ave N
Texas City, TX 77590
Phone (409) 916-0512

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1194594432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 29TH ST",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775108819",
            "telephone_number": "409-692-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850C EMMETT F LOWRY EXPY STE C",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912122",
            "telephone_number": "409-938-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "REBECA",
        "middle_name": "ELISAMA",
        "credential": "MS, LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.