Rebecca Welles

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178017453 Issued in IL

Practice address

1100 W Lake Cook Rd
Buffalo Grove, IL 60089-1929

Phone

(847) 979-0268

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Raw Wellness LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1104645027
  Medicare reassignment NPD Authorized official
• Progressive Psychological Healthcare, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
  • NPI 1902287923
  Medicare reassignment NPD
• Marianna Tsaran MD SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1134283203
  NPD (past)
• In Home Health, LLC

  • Community Based Hospice Care Agency
  • Eau Claire, WI
  • NPI 1710692488
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1255048005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W WINNEMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302432",
            "telephone_number": "773-931-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891929",
            "telephone_number": "847-979-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLES",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil H Weintraub, D.D.S., M.S.
• Jeffery Adam Weisman, M.D.
• Stephanie Weisman
• Adam Weiss, D.C
• Glenn Weiss, LCSW
• Kerrigan Wenig
• Merritt Leigh Whiteside
• Susan Wiebe, FNP
• Wendy Wiesman, LSW
• Emma Lee Williams, COTA/L

• Professional Counselor in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.