Active NPI
Rebecca Shaye Watson, LCPC
- Professional Counselor
- Rosedale, MD
National Provider Identifier
1407160393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC 3379
- Practice address
- 5310 Hazelwood Avenue
Rosedale, MD 21206 - Phone
- (410) 569-9497
- Fax
- (410) 569-0094
- NPI assigned
- Aug 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC 3379 | MD | Primary |
Addresses
Primary practice location
5310 Hazelwood Avenue
Rosedale, MD 21206
Mailing address
2227 Old Emmorton Rd.
Suite 119
Bel Air, MD 21015
Phone (410) 569-9497
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 |
|---|---|---|---|
| LC 3379 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Christian Counseling LLC | Professional | Past | Accepting new patients |
| Safe Harbor Christian Counseling | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Baltimore, MD
- NPI 1932246485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1407160393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON RD.",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 HAZELWOOD AVENUE",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "21206",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "REBECCA",
"middle_name": "SHAYE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC 3379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.