Active NPI
Rebecca J Ensign, MA, LCMHC, LCPC
- Mental Health Counselor
- Bedford, NH
National Provider Identifier
1205216892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2343
- Practice address
- 85 S River Rd Ste 1
#1001
Bedford, NH 03110-6774 - Phone
- (603) 718-3330
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2343 | NH | Primary |
Addresses
Primary practice location
85 S River Rd Ste 1
#1001
Bedford, NH 03110-6774
Mailing address
85 S River Rd Ste 1
#1001
Bedford, NH 03110-6774
Phone (603) 718-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730002355 | NH | Practitioner - Mental Health Counselor | 3577962992 | Practice locations: Bedford, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1001 85 S River Rd
Suite 1
Bedford, NH 03110-6774
Phone (603) 718-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008114 | CT | MD | Clinical Social Worker |
| 2343 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1205216892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S RIVER RD STE 1",
"address_2": "#1001",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106774",
"telephone_number": "603-718-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S RIVER RD STE 1",
"address_2": "#1001",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106774",
"telephone_number": "603-718-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSIGN",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "MA, LCMHC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.