Individual provider Active NPI

Rebeca M Gilbert, MA, LPC

  • Professional Counselor
  • Orlando, FL
National Provider Identifier
1508157553
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH20320 Issued in FL
Practice address
915 Malone Dr
Orlando, FL 32810-5524
Phone
(407) 205-8303
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008468 GA
Professional Counselor 101YP2500X MH20320 FL Primary

Addresses

Primary practice location

915 Malone Dr
Orlando, FL 32810-5524

Mailing address

915 Malone Dr
Orlando, FL 32810-5524
Phone (407) 205-8303

Other practice location 1

102 Macy Dr
Roswell, GA 30076-6329
Phone (678) 534-3824 ext. 120

Other names 1

  • Mrs. Rebeca M Gomes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH20320FLMDProfessional Counselor
LPC008468GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling of Atlanta, LLC Mental Health CurrentSince Apr 28, 2024 Accepting new patients
Restoration Coaching of Atlanta, LLC Professional CurrentSince Apr 28, 2024 Accepting new patients

Locations

102 Macy Dr
Roswell, GA 30076
Phone (678) 534-3824

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1508157553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MALONE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105524",
            "telephone_number": "407-205-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MALONE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105524",
            "telephone_number": "407-205-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Macy Dr",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300766329",
            "country_code": "US",
            "telephone_number": "678-534-3824 x120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "REBECA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008468",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH20320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "GOMES",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "MA, IMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.