Active NPI
Rebecca Brooke Hurley, CSW
- Counselor
- Barbourville, KY
National Provider Identifier
1417518010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 252283
- Practice address
- 1909 Ky 3439
Barbourville, KY 40906-7201 - Phone
- (606) 546-3805
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 252283 | KY | Primary |
Addresses
Primary practice location
1909 Ky 3439
Barbourville, KY 40906-7201
Mailing address
PO Box 550
Barbourville, KY 40906-0550
Phone (606) 546-3805
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 |
|---|---|---|---|
| 252283 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pentecostal Children'S Home | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Barbourville, KY
- NPI 1811430978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1417518010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409060550",
"telephone_number": "606-546-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 KY 3439",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067201",
"telephone_number": "606-546-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "REBECCA",
"middle_name": "BROOKE",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "252283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.