Individual provider Active NPI

Rebecca Cowan, LPC

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1508572231
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005584 Issued in GA
Practice address
125 Postelle St
Cartersville, GA 30120-3671
Phone
(770) 383-8909
Fax
(770) 383-8930
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 LPC005584 GA Primary

Addresses

Primary practice location

125 Postelle St
Cartersville, GA 30120-3671

Mailing address

125 Postelle St
Cartersville, GA 30120-3671
Phone (770) 383-8909

Other practice location 1

200 Carter Grove Blvd SE
Cartersville, GA 30120-3303
Phone (770) 383-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240815002727 GA Practitioner - Mental Health Counselor 0244778686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Therapeutic Services, LLC Single Specialty CurrentSince Jul 18, 2024 Accepting new patients

Locations

109 Central Ave
Cartersville, GA 30120
Phone (770) 383-8909

125 Postelle St
Cartersville, GA 30120
Phone (770) 383-8909

Organizations & group practices 1

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1508572231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 POSTELLE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203671",
            "telephone_number": "770-383-8909",
            "fax_number": "770-383-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 POSTELLE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203671",
            "telephone_number": "770-383-8909",
            "fax_number": "770-383-8930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Carter Grove Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301203303",
            "country_code": "US",
            "telephone_number": "770-383-8909",
            "fax_number": "770-383-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.