Active NPI
Rebecca Milburn, MA, L/CCC-SLP
- Addiction (Substance Use Disorder) Counselor
- Andover, KS
National Provider Identifier
1437572013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01190
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01190 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 2461 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction (Substance Use Disorder) Counselor
- Wichita, KS
- NPI 1205709839
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.