Rebekah Watkins LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REBEKAH WATKINS LLC

Doing business as

Healing Place of Stark

Practice address

4884 Higbee Ave NW
Canton, OH 44718-2578

Phone

(330) 754-9496

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Rebekah Watkins, LPCC-SNPI 1497115372

Title

Owner/Counselor

Phone

(330) 754-9496

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healing Place of Stark Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebekah Watkins

  • Counselor
  • Akron, OH
  • NPI 1497115372
  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1285109132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GALE DR",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442037332",
            "telephone_number": "330-754-9496",
            "fax_number": "330-451-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182578",
            "telephone_number": "330-754-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Market Ave N",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447141781",
            "country_code": "US",
            "telephone_number": "330-754-9496",
            "fax_number": "330-451-5747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Gale Dr",
            "address_purpose": "LOCATION",
            "city": "Barberton",
            "state": "OH",
            "postal_code": "442037332",
            "country_code": "US",
            "telephone_number": "330-907-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBEKAH WATKINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "330-754-9496",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Place of Stark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Place of Stark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.