Individual provider Active NPI

Rebecca Kelly Gorchoff, LMHC, RMHCI

  • Mental Health Counselor
  • Coral Springs, FL
National Provider Identifier
1386992535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13360 Issued in FL
Practice address
2900 N University Dr Ste 30
Coral Springs, FL 33065-5083
Phone
(954) 648-3974
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMT1752 FL
Mental Health Counselor 101YM0800X MH 13360 FL Primary

Addresses

Primary practice location

2900 N University Dr Ste 30
Coral Springs, FL 33065-5083

Mailing address

5178 Kensington Cir
Coral Springs, FL 33076-2734
Phone (954) 648-3974

Other practice location 1

125 W Plymouth Ave
Deland, FL 32720-2745
Phone (954) 648-3974

Other identifiers 1

IdentifierTypeStateIssuer
070525000MedicaidFL

Other names 1

  • Mrs. Rebecca Kelly Spigener 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

State licenses

LicenseStateTypeSpecialty
IMT1752FLMDCounselor
MH 13360FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RKG Psychotherapy, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386992535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 KENSINGTON CIR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762734",
            "telephone_number": "954-648-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N UNIVERSITY DR STE 30",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655083",
            "telephone_number": "954-648-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Plymouth Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327202745",
            "country_code": "US",
            "telephone_number": "954-648-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORCHOFF",
        "first_name": "REBECCA",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "LMHC, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMT1752",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070525000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SPIGENER",
            "middle_name": "KELLY",
            "prefix": "MRS.",
            "credential": "LMHC, RMHCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.