Erika Lynn Rebstock-Degraff, LPC
Individual provider Active NPI Professional Counselor · Kingwood, TX
NPI 1295968857 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1295968857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3707 (LA)
- Practice address
- 1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044 - Phone
- (281) 608-1346
- Fax
- (832) 436-1648
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Discovery Counseling and Assessment Center, LLC
Practice addresses (Care Compare)
4006 Hwy 34 E
Sharpsburg, GA 30277-3531
Phone (404) 960-1282
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260311002192 | GA | Practitioner - Mental Health Counselor | 0648753376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3707 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discovery Counseling and Assessment Center, LLC | Professional | Current |
Accepting new patients |
Locations
4006 Highway 34 E
Sharpsburg, GA 30277
Phone (404) 844-6868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3707 | LA | Yes |
Addresses
Primary practice location
1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044
Mailing address
1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044
Phone (281) 608-1346
Other practice location 1
5026 Cross Keys Dr
Baton Rouge, LA 70817-2305
Phone (225) 753-7307
Other providers in Kingwood, TX
- Jonathan Rea
- Damon Read
- Ready Change Therapy, PLLC
- Reagan Smith, DDS, PLLC
- Daniel Reamer
- Recare Health PLLC
- Recio & Perez PLLC
- Salvador Rafael Recio
- Imre Redai
- Harsith Reddy
All providers in Kingwood, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.