Active NPI
Rebekah A Freese, LCSW
- Counselor
- Columbia, MO
National Provider Identifier
1427049394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2004024548
- Practice address
- 117 N Garth Ave
Columbia, MO 65203-4103 - Phone
- (573) 449-2581
- Fax
- (573) 449-2583
- NPI assigned
- Oct 31, 2005
- 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 | 2004024548 | MO | Primary |
Addresses
Primary practice location
117 N Garth Ave
Columbia, MO 65203-4103
Mailing address
117 N Garth Ave
Columbia, MO 65203-4103
Phone (573) 449-2581
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649269622 | Other | MO | GROUP BILLING NPI |
| 431008405 | Other | MO | GROUP TAX I.D. |
| 193115 | Other | MO | BCBS I.D. |
| 497307504 | Medicaid | MO | |
| 506201904 | Other | MO | HCY MEDICAID NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | 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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1427049394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N GARTH AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034103",
"telephone_number": "573-449-2581",
"fax_number": "573-449-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N GARTH AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034103",
"telephone_number": "573-449-2581",
"fax_number": "573-449-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESE",
"first_name": "REBEKAH",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2004024548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BILLING NPI",
"identifier": "1649269622",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX I.D.",
"identifier": "431008405",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS I.D.",
"identifier": "193115",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497307504",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCY MEDICAID NUMBER",
"identifier": "506201904",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.