Active NPI
Rebecca R Makowski, M.A., LPC-S, NCC
- Professional Counselor
- Canton, MI
National Provider Identifier
1356787725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401012196
- Practice address
- 5840 N Canton Center Rd Ste 224
Canton, MI 48187-2684 - Phone
- (734) 904-5031
- Fax
- (734) 402-8928
- NPI assigned
- May 13, 2013
- Last updated
- Oct 6, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401012196 | MI | Primary |
Addresses
Primary practice location
5840 N Canton Center Rd Ste 224
Canton, MI 48187-2684
Mailing address
135 Westbrook
Whitmore Lake, MI 48189-8208
Phone (734) 904-5031
Other names 1
- Rebecca R Dick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012196 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Energy Therapy, PLLC | Professional | Current | Accepting new patients |
Locations
5840 N Canton Center Rd
Ste 224
Canton, MI 48187
Phone (248) 896-1209
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.
-
- Professional Counselor
- Brighton, MI
- NPI 1831699818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1356787725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WESTBROOK",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481898208",
"telephone_number": "734-904-5031",
"fax_number": "734-402-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 N CANTON CENTER RD STE 224",
"city": "CANTON",
"state": "MI",
"postal_code": "481872684",
"telephone_number": "734-904-5031",
"fax_number": "734-402-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOWSKI",
"first_name": "REBECCA",
"middle_name": "R",
"credential": "M.A., LPC-S, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401012196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "DICK",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.