Rebecca L.K. Wildbear, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5280 Issued in CO

Practice address

466 South Skylane Drive
Open Sky Wilderness Therapy
Durango, CO 81303

Phone

(970) 382-8181

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Acf Enterprises, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Durango, CO
  • NPI 1487808713
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1316257579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "address_2": "OPEN SKY WILDERNESS THERAPY",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81302",
            "telephone_number": "970-382-8181",
            "fax_number": "970-382-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SOUTH SKYLANE DRIVE",
            "address_2": "OPEN SKY WILDERNESS THERAPY",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-382-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDBEAR",
        "first_name": "REBECCA",
        "middle_name": "L.K.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5223046-6004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "5280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Ormsby Whitehurst, D.O.
• Ryan Walker Whitman, DDS
• Whole Health Family Medicine Clinic, P.C.
• Haley Lucille Wiedenman, MA, LPCC
• Jennifer L Wienold, PHARMD
• Maeve Erin Wilder
• Blair Wiles, M.A.
• Philip David Wiley, MD
• Jacob Wilkerson, M.D.
• Kristi Wilkinson

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.