Active NPI
Rebecca Selenow, LICSW
- Mental Health Counselor
- Canton, MA
National Provider Identifier
1245772276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10 Emerson Rd
Canton, MA 02021 - Phone
- (781) 910-1579
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10 Emerson Rd
Canton, MA 02021
Mailing address
10 Emerson Rd
Canton, MA 02021-2497
Phone (781) 910-1579
Other practice location 1
1120 Hancock St
Quincy, MA 02169-4313
Phone (617) 471-8400 ext. 160
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1245772276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EMERSON RD",
"city": "CANTON",
"state": "MA",
"postal_code": "020212497",
"telephone_number": "781-910-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 EMERSON RD",
"city": "CANTON",
"state": "MA",
"postal_code": "02021",
"telephone_number": "781-910-1579"
}
],
"practiceLocations": [
{
"address_1": "1120 Hancock St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021694313",
"country_code": "US",
"telephone_number": "617-471-8400 x160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELENOW",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.