Individual provider Active NPI

Rebecca Jean Hines, LPCC

  • Mental Health Counselor
  • Hopkins, MN
National Provider Identifier
1326583626
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
02477 Issued in MN
Practice address
904 Mainstreet
Hopkins, MN 55343-7529
Phone
(952) 562-4116
Fax
(763) 717-8049
NPI assigned
Dec 23, 2016
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 02477 MN Primary

Addresses

Primary practice location

904 Mainstreet
Hopkins, MN 55343-7529

Mailing address

32 10TH Ave S Ste 212
Hopkins, MN 55343-9481
Phone (952) 562-4116

Other identifiers 1

IdentifierTypeStateIssuer
CC02477OtherMNMN BOARD OF BEHAVIORAL HEALTH AND THERAPY

Other names 1

  • Rebecca Jean McBride Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023004349 MN Practitioner - Mental Health Counselor 1052844461 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02477MNMDMental Health Counselor
2477MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ashlee Secord Professional CurrentSince Oct 1, 2024 Accepting new patients
Healing Roots Counseling Mental Health CurrentSince Apr 11, 2025 Accepting new patients

Locations

11990 Portland Ave
Burnsville, MN 55337
Phone (612) 439-1100

5200 Willson Rd
Ste 307
Minneapolis, MN 55424
Phone (612) 405-5565

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1326583626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 10TH AVE S STE 212",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553439481",
            "telephone_number": "952-562-4116",
            "fax_number": "763-717-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437529",
            "telephone_number": "952-562-4116",
            "fax_number": "763-717-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF BEHAVIORAL HEALTH AND THERAPY",
            "identifier": "CC02477",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MCBRIDE",
            "middle_name": "JEAN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.