Individual provider Active NPI

Rebecca Thipsingh, LCSW, TCT

  • Clinical Social Worker
  • Rockledge, FL
National Provider Identifier
1407228570
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15583 Issued in FL
Practice address
391 Commerce Pkwy Ste 220
Rockledge, FL 32955-4209
Phone
(321) 258-9537
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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 SW15583 FL
Clinical Social Worker 1041C0700X SW15583 FL Primary

Addresses

Primary practice location

391 Commerce Pkwy Ste 220
Rockledge, FL 32955-4209

Mailing address

4561 Manchester Dr
Rockledge, FL 32955-6737
Phone (561) 281-8846

Other practice location 1

1825 Riverview Dr
Melbourne, FL 32901-4711
Phone (321) 258-9537

Other identifiers 1

IdentifierTypeStateIssuer
103651200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014002228 FL Practitioner - Clinical Social Worker 8729319330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allies in Wellness, LLCGroup PAC ID 7113258724, 4 clinicians

Practice addresses (Care Compare)

1825 Riverview Dr
Melbourne, FL 32901-4711
Phone (321) 258-9537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15583FLMDClinical Social Worker

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Allies in Wellness, LLC Mental Health CurrentSince Jun 18, 2019 Accepting new patients
Allies in Wellness, LLC Mental Health CurrentSince Aug 28, 2022 Accepting new patients
Allies in Wellness Collective, LLC Mental Health Current Accepting new patients

Locations

1825 Riverview Dr
Melbourne, FL 32901
Phone (321) 258-9537

391 Commerce Pkwy
Ste 220
Rockledge, FL 32955
Phone (321) 258-9537

1211 Admiralty Blvd
Rockledge, FL 32955
Phone (321) 406-0881

7105 Turner Rd
Rockledge, FL 32955
Phone (321) 258-9537

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1407228570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 MANCHESTER DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556737",
            "telephone_number": "561-281-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 COMMERCE PKWY STE 220",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554209",
            "telephone_number": "321-258-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329014711",
            "country_code": "US",
            "telephone_number": "321-258-9537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIPSINGH",
        "first_name": "REBECCA",
        "credential": "LCSW, TCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103651200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.