Individual provider Active NPI

Rebekah Dawn Chillemi, LMHC

  • Mental Health Counselor
  • Palm City, FL
National Provider Identifier
1437657756
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10471 Issued in FL
Practice address
901 SW Martin Downs Blvd Ste 200a
Palm City, FL 34990-2860
Phone
(772) 210-4697
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10471 FL Primary

Addresses

Primary practice location

901 SW Martin Downs Blvd Ste 200a
Palm City, FL 34990-2860

Mailing address

2813 SW Brighton Way
Palm City, FL 34990-6070
Phone (609) 922-2334

Other practice location 1

3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Phone (772) 220-3484

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XOtherFLSUPER BILLS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address becky@rymcc.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
MH10471FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1437657756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 SW BRIGHTON WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906070",
            "telephone_number": "609-922-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW MARTIN DOWNS BLVD STE 200A",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902860",
            "telephone_number": "772-210-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3577 SW Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349908153",
            "country_code": "US",
            "telephone_number": "772-220-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILLEMI",
        "first_name": "REBEKAH",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPER BILLS",
            "identifier": "101YM0800X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky@rymcc.org",
            "affiliation": "N",
            "endpointDescription": "secure e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 SW Martin Downs Blvd Ste 200A",
            "city": "Palm City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349902860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.