Rebecca Pavlik Self, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77265 Issued in TX

Practice address

2060 North Loop W Ste 230
Houston, TX 77018-8147

Phone

(832) 864-8600

NPI assigned

Jun 1, 2021

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Anne Pavlik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 5, 2024 through Jun 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reflect Therapy, PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1801670187
  NPD
• Truthtribe LLC

  • Professional Counselor
  • Houston, TX
  • NPI 1235746660
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1316513310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 NORTH LOOP W STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188147",
            "telephone_number": "832-864-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 NORTH LOOP W STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188147",
            "telephone_number": "832-864-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "REBECCA",
        "middle_name": "PAVLIK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PAVLIK",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Self Wellness Therapeutic Center LLC (Self Wellness Therapeutic Center)
• Bailey Self
• Fauniel Alicia Self, MD
• Mariella Self, PH.D
• Mary Chandler Self, M.D.
• Selim Behavioral Health Network, Inc
• Ranya Selim, M.D.
• Paul Gregory Selina, M.D.
• Rebecca Roozbeh Seline, DDS
• Veronica L. Selinko, M.D.

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.