Individual provider Active NPI

Debra Mackie Rebman, LPC

  • Professional Counselor
  • Mount Joy, PA
National Provider Identifier
1467715714
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006376 Issued in PA
Practice address
410 S Angle St
Mount Joy, PA 17552-2031
Phone
(717) 653-1507
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006376 PA Primary

Addresses

Primary practice location

410 S Angle St
Mount Joy, PA 17552-2031

Mailing address

12 Aspen Cir
Elizabethtown, PA 17022-1789
Phone (717) 875-1350

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
PC006376PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Counseling Services, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1467715714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ASPEN CIR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221789",
            "telephone_number": "717-875-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ANGLE ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175522031",
            "telephone_number": "717-653-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBMAN",
        "first_name": "DEBRA",
        "middle_name": "MACKIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.