Active NPI
Rebecca Nix, LMHC CCTP
- Counselor
- Des Moines, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 24452 12TH Ave S
Des Moines, WA 98198-3867 - Phone
- (253) 217-0936
- NPI assigned
- May 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | LH61199120 | WA |
Addresses
Primary practice location
24452 12TH Ave S
Des Moines, WA 98198-3867
Mailing address
24452 12TH Ave S
Des Moines, WA 98198-3867
Phone (253) 217-0936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH61199120 | Other | WA | STATE OF WASHINGTON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2340 Commonwealth Dr
Suite 101
Charlottesville, VA 22901-1634
Phone (732) 451-3895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61199120 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebulb LLC | Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Mental Health | Past | Accepting new patients |
Locations
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
6210 Old Franconia Rd
#A
Alexandria, VA 22310
Phone (703) 955-3703
2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1376034231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24452 12TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981983867",
"telephone_number": "253-217-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24452 12TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981983867",
"telephone_number": "253-217-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "REBECCA",
"credential": "LMHC CCTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61199120",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "LH61199120",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.