Active NPI
Rebecca Jane Hedgecock, MA, NCC, LPC
- Professional Counselor
- Southport, NC
National Provider Identifier
1528292810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7086
- Practice address
- 103 E 8TH St
Southport, NC 28461-3523 - Phone
- (910) 987-6491
- Fax
- (910) 363-4075
- NPI assigned
- May 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 35323 | NC | |
| Professional Counselor | 101YP2500X | 7086 | NC | Primary |
Addresses
Primary practice location
103 E 8TH St
Southport, NC 28461-3523
Mailing address
103 Holly Dr
Southport, NC 28461-2709
Phone (910) 987-6491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104503 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35323 | NC | MD | Professional Counselor |
| 7086 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tools4Life LLC | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southport, NC
- NPI 1720573215
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1528292810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 HOLLY DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612709",
"telephone_number": "910-987-6491",
"fax_number": "910-363-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 8TH ST",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613523",
"telephone_number": "910-987-6491",
"fax_number": "910-363-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGECOCK",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "35323",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104503",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.