Individual provider Active NPI

Rebecca Bakker, LPCC

  • Mental Health Counselor
  • Rogers, MN
National Provider Identifier
1508490905
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
21308 John Milless Dr Ste 104
Rogers, MN 55374-4875
Phone
(763) 342-5392
Fax
(763) 402-7910
NPI assigned
Feb 25, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

21308 John Milless Dr Ste 104
Rogers, MN 55374-4875

Mailing address

12425 Waterside CT
Rogers, MN 55374-3300
Phone (724) 261-7703

Other names 1

  • Rebecca Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240312002128 MN Practitioner - Mental Health Counselor 0749626869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2508MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M Yarosh, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
The Growth Group Mental Health CurrentSince Nov 24, 2024 Accepting new patients

Locations

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

13784 83rd Way N
Ste 200
Maple Grove, MN 55369
Phone (724) 261-7703

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1508490905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 WATERSIDE CT",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553743300",
            "telephone_number": "724-261-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 JOHN MILLESS DR STE 104",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744875",
            "telephone_number": "763-342-5392",
            "fax_number": "763-402-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "REBECCA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "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": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.