Individual provider Active NPI

Rebecca Morgan Kammer, LPC-ASSOCIATE

  • Mental Health Counselor
  • Waco, TX
National Provider Identifier
1477206852
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86811 Issued in TX
Practice address
200 SH-6 S
Suite 250
Waco, TX 76712
Phone
(254) 447-4539
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 86811 TX Primary

Addresses

Primary practice location

200 SH-6 S
Suite 250
Waco, TX 76712

Mailing address

5701 Roberts Dr
Waco, TX 76710-1529

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
86811TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1477206852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 ROBERTS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SH-6 S",
            "address_2": "SUITE 250",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-447-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMER",
        "first_name": "REBECCA",
        "middle_name": "MORGAN",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.