Rebecca Anne Harrell I, LCPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010272 Issued in IL

Practice address

575 N Kellogg St Ste 4
Galesburg, IL 61401-7609

Phone

(309) 343-0800

Fax

(309) 343-0802

NPI assigned

Apr 4, 2025

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Counseling and Life Coaching LLCGroup PAC ID 9436473162, 6 clinicians

Practice addresses (Care Compare)

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.

• Crossroads Counseling and Life Coaching LLC

  • Professional Counselor
  • Galesburg, IL
  • NPI 1255593315

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1497549679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N KELLOGG ST STE 4",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614017609",
            "telephone_number": "309-343-0800",
            "fax_number": "309-343-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N KELLOGG ST STE 4",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614017609",
            "telephone_number": "309-343-0800",
            "fax_number": "309-343-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_suffix": "I",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madan L Gupta, MD
• Melissa Hajostek, APN
• Christa Ann Hamilton, LPN
• Trisha Hanson, SLP
• Brenda Harrell, MHP
• Peter Dawson Hauslein, MD
• Jamie Haynes, PT
• Sarah Jane Haynes, PT
• Healthy Body...Healthy Life Chiropractic, Inc.
• Heart and Home in Home Care LLC

• Clinical Social Worker in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.