Individual provider Active NPI

Rebecca R Burtop

  • Mental Health Counselor
  • Mount Laurel, NJ
National Provider Identifier
1386285724
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1120 NJ-73, Suite 300
Mount Laurel, NJ 08054
Phone
(800) 442-8938
NPI assigned
Oct 7, 2019
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X PC011788 PA

Addresses

Primary practice location

1120 NJ-73, Suite 300
Mount Laurel, NJ 08054

Mailing address

PO Box 114
Bolivar, PA 15923-0114

Other identifiers 1

IdentifierTypeStateIssuer
PC011788OtherPAPROFESSIONAL COUNSELOR LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address becca.fetter@outlook.com Direct

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

State licenses

LicenseStateTypeSpecialty
PC011788PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inpathy Behavioral Healthcare Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebecca.burtop.1@24284.direct.athenahealth.com

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1386285724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "BOLIVAR",
            "state": "PA",
            "postal_code": "159230114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NJ-73, SUITE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "800-442-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTOP",
        "first_name": "REBECCA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "PC011788",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becca.fetter@outlook.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "412 Shaffer St",
            "city": "Bolivar",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.