Individual provider Active NPI

Rebecca Race, LPC, LBS

  • Counselor
  • Pittston, PA
National Provider Identifier
1205242005
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
65 Bryden St
Pittston, PA 18640-3450
Phone
(570) 225-9299
Fax
(570) 225-9299
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC018017 PA
Counselor 101Y00000X Primary

Addresses

Primary practice location

65 Bryden St
Pittston, PA 18640-3450

Mailing address

65 Bryden St
Pittston, PA 18640-3450
Phone (570) 225-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • 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
I20250407000481 PA Practitioner - Mental Health Counselor 8527468255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC018017PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Inc Counselor CurrentSince May 1, 2021 Accepting new patients
Abilities Behavioral Health Current Accepting new patients
Abilities Behavioral Health Counselor Current Accepting new patients

Locations

65 Bryden St
Pittston Township, PA 18640
Phone (570) 225-9299

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1205242005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BRYDEN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403450",
            "telephone_number": "570-225-9299",
            "fax_number": "570-225-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BRYDEN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403450",
            "telephone_number": "570-225-9299",
            "fax_number": "570-225-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACE",
        "first_name": "REBECCA",
        "credential": "LPC, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018017",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.