Rebecca Theophilus, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2210 S Brown PL
Sioux Falls, SD 57105-6582

Phone

(605) 256-9656

Fax

(605) 256-2891

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Lyall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Counseling Service

  • Mental Health Counselor
  • Huron, SD
  • NPI 1932167277
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1497238042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 S BROWN PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056582",
            "telephone_number": "605-336-1974",
            "fax_number": "605-336-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S BROWN PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056582",
            "telephone_number": "605-256-9656",
            "fax_number": "605-256-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 E 26th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571053118",
            "country_code": "US",
            "telephone_number": "608-774-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOPHILUS",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LYALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Young Men's Christian Association of Sioux Falls
• Brittney Anne Thedens, RBT
• Alexandria Theel, MSW, LCSW (CSW), ACT
• Kelsey Lynn Theesfeld, LCSW-PIP, LAC, QMHP
• Tori Renee Theisen
• Therapy Paige, LLC
• Theratime Inc
• Amy Nicole Therkelsen, FNP-C
• Eric Jameson Thiede, D.D.S
• Whitney Thiel

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.