Individual provider Active NPI

Rebecca Dawn, MA, LPC

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1356010920
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7294 Issued in CT
Practice address
555 Heritage Rd # 107
Southbury, CT 06488-3846
Phone
(203) 404-0950
Fax
(203) 404-0950
NPI assigned
Sep 8, 2021
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7294 CT Primary

Addresses

Primary practice location

555 Heritage Rd # 107
Southbury, CT 06488-3846

Mailing address

555 Heritage Rd # 107
Southbury, CT 06488-3846
Phone (860) 515-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240724001976 CT Practitioner - Mental Health Counselor 6901342104 Reassigns benefits to 1 organization
Practice locations: Middlebury, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 Straits Tpke
Suite 106
Middlebury, CT 06762-2800
Phone (860) 515-6656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7294CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Key Therapy LLC CurrentSince May 18, 2024 Accepting new patients

Locations

731 Main St
Ste 122
Monroe, CT 06468
Phone (203) 261-7090

Organizations & group practices 1

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1356010920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HERITAGE RD # 107",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883846",
            "telephone_number": "860-515-6656",
            "fax_number": "203-404-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE RD # 107",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883846",
            "telephone_number": "203-404-0950",
            "fax_number": "203-404-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWN",
        "first_name": "REBECCA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.