Rebekah E Pevia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5252-C Issued in AR

Practice address

1125 Skyline Drive
Conway, AR 72032-2857

Phone

(501) 504-7171

Fax

(877) 370-4292

NPI assigned

Jul 13, 2010

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boston Mountain Rural Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, AR
  • NPI 1720096027
  Medicare reassignment NPD
• Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1649381120
  Medicare reassignment NPD
• Boston Mountain Rural Health Center, Inc

  dba Boston Mountain Rural Health Center Huntsville School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AR
  • NPI 1972313237
  NPD
• Counseling Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Heber Springs, AR
  • NPI 1144701848
  NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1235441684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SKYLINE DRIVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322857",
            "telephone_number": "501-504-7171",
            "fax_number": "877-370-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVIA",
        "first_name": "REBEKAH",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5252-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Anne Petersen, BCBA
• Riley Paige Petroff
• Samantha V Pettingill
• Mary Jane Pettit, RD LD
• Ginah Brianne Pettyjohn, LPC
• Brandon Dale Peyton
• Mattie Elaine Thi Pham
• Pharmacy Operations Inc (Medicine Shoppe)
• Pharmacy Operations, Inc (Medicine Shoppe)
• Pharmacy Operations, Inc. (Medicine Shoppe)

• Clinical Social Worker in Conway, AR
• Providers in Conway, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.