Individual provider Active NPI

Rebecca R Makowski, M.A., LPC-S, NCC

  • Professional Counselor
  • Canton, MI
National Provider Identifier
1356787725
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012196 Issued in MI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 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 Former name

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

LicenseStateTypeSpecialty
6401012196MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Energy Therapy, PLLC Professional CurrentSince Oct 11, 2020 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.

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.

Verify at the official NPI Registry.