Rebecca Lynne Kroeker, M.H.R., L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3668 Issued in OK

Practice address

1625 W Owen K Garriott Rd
Suite F
Enid, OK 73703-5653

Phone

(580) 242-4673

Fax

(580) 242-4679

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associated Therapeutic Services, PC

  • Community/Behavioral Health Agency
  • Enid, OK
  • NPI 1992847032

  OK

  Medicare reassignment NPD Authorized official
• Associated Therapeutic Services, PC

  • Counselor
  • Woodward, OK
  • NPI 1457555336
  NPD (past) Authorized official
• Associated Therapeutic Services, PC

  • Counselor
  • Medford, OK
  • NPI 1598960015
  NPD (past) Authorized official
• Associated Theraputic Services

  • Community/Behavioral Health Agency
  • Enid, OK
  • NPI 1841527561
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487735296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 EDGEWOOD DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031541",
            "telephone_number": "580-234-6781",
            "fax_number": "580-242-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OWEN K GARRIOTT RD",
            "address_2": "SUITE F",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035653",
            "telephone_number": "580-242-4673",
            "fax_number": "580-242-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEKER",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "credential": "M.H.R., L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "0305581779",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Dawn Knowles, PA
• Sheena Koehn
• Kevin Brent Kourt, M.D.
• Andrew Paul Kraft, OD
• Carson Paige Kroeker, CM II
• Steve Kroll
• Jarrett D Kruska, M.D
• Stacy Kurtz, LPC
• Margaret Elaine Kutz, LPD/LADC
• Kuykendall Hearing Aid Center, L.L.C.

• All providers in Enid, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.