Rebecca Ismart Frey, M.S., LMFT, QMHP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0662 Issued in OR

Practice address

965 Liberty St SE
Salem, OR 97302-4138

Phone

(503) 588-2004

NPI assigned

Jun 19, 2007

Last updated

Oct 3, 2011By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

• Polk Yamhill & Marion Child Treatment Services Inc

  dba Poyama Counseling Services

  • Counselor
  • Salem, OR
  • NPI 1760685176
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1326243205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 UPPER BRECKENRIDGE LOOP NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043435",
            "telephone_number": "301-651-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024138",
            "telephone_number": "503-588-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "REBECCA",
        "middle_name": "ISMART",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Freeman, DC
• Stephanie Freeman
• Dana Leah Frenchko, CADC-R
• Fresenius Medical Care Dialysis Services - Oregon, LLC (Fresenius Medical Care West Salem)
• Mark Thomas Fretz, DDS
• Melinda Frias, CRM, PSS
• Larry A Fricano, CADC II
• Irmgard Friedburg, PH.D.
• Robert Lewis Friess, D.M.D.
• Christopher Scot Frink, M.S. F-AAA

• Marriage & Family Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.