Active NPI
Rebecca Jean Hines, LPCC
- Mental Health Counselor
- Hopkins, MN
National Provider Identifier
1326583626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 02477
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC02477 | Other | MN | MN BOARD OF BEHAVIORAL HEALTH AND THERAPY |
Other names 1
- Rebecca Jean McBride
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02477 | MN | MD | Mental Health Counselor |
| 2477 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashlee Secord | Professional | Current | Accepting new patients |
| Healing Roots Counseling | Mental Health | Current | 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.
-
- Mental Health Counselor
- Wayzata, MN
- NPI 1497468060
-
dba Thrive Therapy, LLC
- Marriage & Family Therapist
- Burnsville, MN
- NPI 1073902177
Professional
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.