Individual provider Active NPI

Rebecca Ruth Nielsen, M.S.ED.

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1497052138
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005001 Issued in VA
Practice address
512 S Lynnhaven Rd Ste 101
Virginia Beach, VA 23452-6664
Phone
(757) 306-4232
Fax
(757) 306-4235
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005001 VA Primary

Addresses

Primary practice location

512 S Lynnhaven Rd Ste 101
Virginia Beach, VA 23452-6664

Mailing address

512 S Lynnhaven Rd Ste 101
Virginia Beach, VA 23452-6664
Phone (757) 306-4232

Other practice location 1

281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Phone (757) 490-0377 ext. 345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240116002272 VA Practitioner - Mental Health Counselor 7810349875 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4164 Virginia Beach Blvd
Suite 202
Virginia Beach, VA 23452-1762
Phone (757) 306-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1497052138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S LYNNHAVEN RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526664",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S LYNNHAVEN RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526664",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Independence Blvd",
            "address_2": "Suite 326",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234622986",
            "country_code": "US",
            "telephone_number": "757-490-0377 x345",
            "fax_number": "757-497-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.