Individual provider Active NPI

Rebecca E McCabe, MS, LPCC

  • Mental Health Counselor
  • Mankato, MN
National Provider Identifier
1245778083
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1433 Issued in MN
Practice address
881 Madison Ave
Mankato, MN 56001-6139
Phone
(507) 225-0450
Fax
(507) 779-7182
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 1433 MN Primary

Addresses

Primary practice location

881 Madison Ave
Mankato, MN 56001-6139

Mailing address

881 Madison Ave
Mankato, MN 56001-6139
Phone (507) 225-0450

Other identifiers 1

IdentifierTypeStateIssuer
1245778083MedicaidMN

Other names 1

  • Becca McCabe Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20231229000585 MN Practitioner - Mental Health Counselor 8729456926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Pathways Therapeutic Services LLCGroup PAC ID 7810365012, 3 clinicians

Practice addresses (Care Compare)

881 Madison Ave
Mankato, MN 56001-6139
Phone (507) 225-0450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1433MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Pathways Therapeutic Services LLC Mental Health CurrentSince May 15, 2022 Accepting new patients
Care Clinics, LLC PastSince Apr 10, 2023 Accepting new patients
Five Rivers Mental Health LLC PastSince Nov 17, 2019 Accepting new patients

Locations

209 S 2nd St
Ste 307
Mankato, MN 56001
Phone (507) 225-0450

881 Madison Ave
Mankato, MN 56001
Phone (507) 225-0450

Organizations & group practices 3

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1245778083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016139",
            "telephone_number": "507-225-0450",
            "fax_number": "507-779-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245778083",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECCA",
            "last_name": "MCCABE",
            "credential": "MS, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.