Active NPI
Rebecca D Anderson, LPC, CADC III
- Counselor
- Philomath, OR
National Provider Identifier
1386846038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C2239
- Practice address
- 1215 Main Street
Philomath, OR 97370 - Phone
- (503) 871-9530
- NPI assigned
- Jun 4, 2007
- Last updated
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | C2239 | OR | Primary |
| Mental Health Counselor | 101YM0800X | C2239 | OR |
Addresses
Primary practice location
1215 Main Street
Philomath, OR 97370
Mailing address
PO Box 2113
Corvallis, OR 97339
Phone (503) 871-9530
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
| License | State | Type | Specialty |
|---|---|---|---|
| C2239 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1386846038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2113",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97339",
"telephone_number": "503-871-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 MAIN STREET",
"city": "PHILOMATH",
"state": "OR",
"postal_code": "97370",
"telephone_number": "503-871-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "REBECCA",
"middle_name": "D",
"credential": "LPC, CADC III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C2239",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philomath, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.