Active NPI
Rebecca L Wills, PHD, LPC
- Professional Counselor
- Boyertown, PA
National Provider Identifier
1487768255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012321
- Practice address
- 608 E Philadelphia Ave
Boyertown, PA 19512-2113 - Phone
- (856) 912-4038
- NPI assigned
- Aug 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00322100 | NJ | |
| Professional Counselor | 101YP2500X | PC012321 | PA | Primary |
Addresses
Primary practice location
608 E Philadelphia Ave
Boyertown, PA 19512-2113
Mailing address
608 E Philadelphia Ave
Boyertown, PA 19512-2113
Phone (856) 912-4038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 781952000 | Other | NJ | MAGELLAN BEHAVIORAL MIS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00322100 | NJ | MD | Professional Counselor |
| PC012321 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730592000000",
"number": "1487768255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 E PHILADELPHIA AVE",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195122113",
"telephone_number": "856-912-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 E PHILADELPHIA AVE",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "195122113",
"telephone_number": "856-912-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2024-11-03",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00322100",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL MIS",
"identifier": "781952000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boyertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.