Individual provider Active NPI

Rebekah Elaine Creswell, MA

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1467808709
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72791 Issued in TX
Practice address
803 Castroville Rd
Suite 134
San Antonio, TX 78237-3153
Phone
(210) 436-2339
Fax
(210) 426-2329
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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 72791 TX Primary

Addresses

Primary practice location

803 Castroville Rd
Suite 134
San Antonio, TX 78237-3153

Mailing address

803 Castroville Rd
Suite 134
San Antonio, TX 78237-3153
Phone (210) 436-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002779 TX Practitioner - Mental Health Counselor 8527402106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence of Grace Counseling CenterGroup PAC ID 5496198160, 3 clinicians

Practice addresses (Care Compare)

803 Castroville Rd
Suite 134
San Antonio, TX 78237-3148
Phone (210) 436-2339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
72791TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence of Grace Counseling Center CurrentSince May 4, 2024 Accepting new patients
Evidence of Grace Counseling Center PastSince May 4, 2024 Accepting new patients

Locations

803 Castroville Rd
Ste 134
San Antonio, TX 78237
Phone (210) 436-2339

Organizations & group practices 2

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1467808709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 CASTROVILLE RD",
            "address_2": "SUITE 134",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373153",
            "telephone_number": "210-436-2339",
            "fax_number": "210-426-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 CASTROVILLE RD",
            "address_2": "SUITE 134",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373153",
            "telephone_number": "210-436-2339",
            "fax_number": "210-426-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESWELL",
        "first_name": "REBEKAH",
        "middle_name": "ELAINE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.