Rebecca L Rand, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

SW 12296 Issued in FL

Practice address

136 S Academy Ave Ste C
Eagle, ID 83616-6541

Phone

(208) 912-6621

NPI assigned

Jul 27, 2010

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 names 1

• Ms. Rebecca L Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1487968996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 E FERN BROOK DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166602",
            "telephone_number": "208-912-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S ACADEMY AVE STE C",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166541",
            "telephone_number": "208-912-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 E Venice Ave",
            "address_2": "SUITE 204",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342923191",
            "country_code": "US",
            "telephone_number": "941-484-0766",
            "fax_number": "941-488-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAND",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW 12296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "OLSON",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Putegnat
• Jennifer Pyette, COTA/L
• Christine Marie Radsma, LM, CPM
• Kimberly Ann Rainey, P.T.
• Renae Ramos, PA-C
• Jordan Lee Rausch, CGC
• Reach Primary Care LLC
• Reach the Summit Language and Literacy Clinic, LLC
• Rebecca Rand Counseling LLC
• Karissa Redd

• Professional Counselor in Eagle, ID
• Providers in Eagle, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.