Active NPI
Rebecca Lynn Fugate, L.C.M.H.C.
- Mental Health Counselor
- Fairview, NC
National Provider Identifier
1457553018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4575
- Practice address
- 713 Garren Creek Rd
Fairview, NC 28730-7610 - Phone
- (828) 216-7370
- NPI assigned
- Jun 4, 2007
- Last updated
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4575 | NC | Primary |
Addresses
Primary practice location
713 Garren Creek Rd
Fairview, NC 28730-7610
Mailing address
PO Box 1579
Black Mountain, NC 28711-1579
Phone (828) 216-7370
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 |
|---|---|---|---|
| 4575 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1457553018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1579",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287111579",
"telephone_number": "828-216-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 GARREN CREEK RD",
"city": "FAIRVIEW",
"state": "NC",
"postal_code": "287307610",
"telephone_number": "828-216-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "L.C.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "4575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.