Active NPI
Rebekah Michaela Proctor
- Peer Specialist
- Spokane, WA
National Provider Identifier
1487285987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 910 W Boone Ave
Spokane, WA 99201-5029 - Phone
- (509) 325-7232
- NPI assigned
- Feb 3, 2020
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
910 W Boone Ave
Spokane, WA 99201-5029
Mailing address
12807 E Sprague Ave Apt 8
Spokane Valley, WA 99216-0738
Other names 1
- Rebekah Michaela Proctor
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Human Services | 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 and National Provider Directory roles.
-
dba Pioneer Counseling Services Spokane - Emerson Clinic
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1790153682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1487285987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12807 E SPRAGUE AVE APT 8",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W BOONE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992015029",
"telephone_number": "509-325-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "REBEKAH",
"middle_name": "MICHAELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "PROCTOR",
"middle_name": "MICHAELA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
- Dorothea Fay Pritchett, MA 60201080
- Gregory Dean Pritchett, MA 60208918
- Michelle Pritchett
- Mollie Pritiken, LMHC
- Proactive Psychiatric Services LLC (Proactive Psychiatric Services)
- Professional Training Solutions, LLC (Empowerment Counseling Services)
- Kayla Proffitt-James
- Kimberley Proffitt
- Progress Health Network PLLC
- Progressive Psychiatric Consultant
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.