Individual provider Active NPI

Rebecca King, LSW

  • Mental Health Counselor
  • East Petersburg, PA
National Provider Identifier
1215550538
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
130105 Issued in PA
Practice address
1987 State St
East Petersburg, PA 17520-1324
Phone
(717) 723-8040
NPI assigned
May 20, 2020
Last updated
May 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 130105 PA Primary

Addresses

Primary practice location

1987 State St
East Petersburg, PA 17520-1324

Mailing address

1987 State St
East Petersburg, PA 17520-1324
Phone (717) 723-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hushmail Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 4, 2025 through Apr 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130105PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Collective LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1215550538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 STATE ST",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201324",
            "telephone_number": "717-723-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 STATE ST",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175201324",
            "telephone_number": "717-723-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBECCA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "130105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hushmail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1987 State St",
            "city": "East Petersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175201324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Petersburg, PA

Sources for this page

Verify at the official NPI Registry.