Active NPI
Rebecca Rouse, PSYD
- Counselor
- Redondo Beach, CA
National Provider Identifier
1225319759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614 - Phone
- (424) 438-0738
- NPI assigned
- Aug 29, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614
Mailing address
1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614
Phone (310) 874-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 22, 2024 through May 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1225319759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 S PACIFIC COAST HWY STE 307",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775614",
"telephone_number": "310-874-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S PACIFIC COAST HWY STE 307",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775614",
"telephone_number": "424-438-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.