Individual provider Active NPI

Rebecca Joy Bounous, LCSW, MSW

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1205389590
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012628 Issued in NC
Practice address
439 1St Ave NW
Hickory, NC 28601-6124
Phone
(828) 322-4941
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P010825 NC
Clinical Social Worker 1041C0700X C012628 NC Primary

Addresses

Primary practice location

439 1St Ave NW
Hickory, NC 28601-6124

Mailing address

1784 York Institute Rd
Hiddenite, NC 28636-4170
Phone (704) 402-5807

Other practice location 1

409 S Oakland St
Gastonia, NC 28052
Phone (704) 874-9005

Other practice location 2

919 N Main St
Suite B
Mooresville, NC 28115-2355
Phone (704) 660-6854

Other practice location 3

919 N Main St
Suite B
Mooresville, NC 28115-2355
Phone (704) 660-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012628NCMDClinical Social Worker
P010825NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center CurrentSince Jun 25, 2023 Accepting new patients
Turning Point Homes, LLC Past Accepting new patients

Locations

439 1st Ave NW
Hickory, NC 28601
Phone (828) 322-4941

Organizations & group practices 2

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1205389590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 YORK INSTITUTE RD",
            "city": "HIDDENITE",
            "state": "NC",
            "postal_code": "286364170",
            "telephone_number": "704-402-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 1ST AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016124",
            "telephone_number": "828-322-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Oakland St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28052",
            "country_code": "US",
            "telephone_number": "704-874-9005",
            "fax_number": "704-874-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 N Main St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152355",
            "country_code": "US",
            "telephone_number": "704-660-6854",
            "fax_number": "704-662-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 N Main St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152355",
            "country_code": "US",
            "telephone_number": "704-660-6854",
            "fax_number": "704-662-0866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUNOUS",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010825",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.