Individual provider Active NPI

Rebecca Milburn, MA, L/CCC-SLP

  • Addiction (Substance Use Disorder) Counselor
  • Andover, KS
National Provider Identifier
1437572013
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01190 Issued in KS
Practice address
9700 SW Pine Rd
Andover, KS 67002-8375
Phone
(316) 558-1058
NPI assigned
Feb 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2461 KS
Addiction (Substance Use Disorder) Counselor 101YA0400X 01190 KS Primary

Addresses

Primary practice location

9700 SW Pine Rd
Andover, KS 67002-8375

Mailing address

9700 SW Pine Rd
Andover, KS 67002-8375
Phone (316) 558-1058

Other names 1

  • Rebecca Delong 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01190KSMDAddiction (Substance Use Disorder) Counselor
2461KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace and Hope Recovery Inc Addiction (Substance Use Disorder) Current 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": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1437572013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 SW PINE RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028375",
            "telephone_number": "316-558-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SW PINE RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028375",
            "telephone_number": "316-558-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "MA, L/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2461",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "01190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DELONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.