Individual provider Active NPI

Rebecca Melissa Wright, L.P.C.

  • Professional Counselor
  • Lock Haven, PA
National Provider Identifier
1295818367
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002892 Issued in PA
Practice address
142 E Church St
Lock Haven, PA 17745-2008
Phone
(570) 502-3439
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC002892 PA Primary

Addresses

Primary practice location

142 E Church St
Lock Haven, PA 17745-2008

Mailing address

142 Each Church Street
Lock Haven, PA 17745-1321
Phone (570) 502-3439

Other identifiers 2

IdentifierTypeStateIssuer
PC002892OtherPAL.P.C.
1025490100001MedicaidPA

Other names 1

  • Mrs. Rebecca Melissa Wright Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC002892PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diakon Child Family and Community Ministries Past Accepting new patients

Organizations & group practices 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1295818367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 EACH CHURCH STREET",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451321",
            "telephone_number": "570-502-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E CHURCH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452008",
            "telephone_number": "570-502-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REBECCA",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.P.C.",
            "identifier": "PC002892",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025490100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WRIGHT",
            "middle_name": "MELISSA",
            "prefix": "MRS.",
            "credential": "L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.