Individual provider Active NPI

Rebecca A Richards, LPC

  • Professional Counselor
  • Manitowoc, WI
National Provider Identifier
1225531353
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6845 Issued in WI
Practice address
816 Washington St
Manitowoc, WI 54220-4537
Phone
(920) 645-3743
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 6845 WI Primary

Addresses

Primary practice location

816 Washington St
Manitowoc, WI 54220-4537

Mailing address

948 N 5TH St
Manitowoc, WI 54220-3339
Phone (262) 719-5177

Other names 1

  • Rebecca Rice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001821 WI Practitioner - Mental Health Counselor 5395186399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Clinical Services LLCGroup PAC ID 4486095486, 2 clinicians

Practice addresses (Care Compare)

816 Washington St
Manitowoc, WI 54220-4537
Phone (920) 645-3743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6845WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Clinical Services LLC Mental Health CurrentSince Apr 23, 2024 Accepting new patients

Locations

820 Washington St
Manitowoc, WI 54220

816 Washington St
Manitowoc, WI 54220
Phone (262) 719-5177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1225531353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 N 5TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203339",
            "telephone_number": "262-719-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 WASHINGTON ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204537",
            "telephone_number": "920-645-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RICE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.