Individual provider Active NPI

Rebecca Jane Hedgecock, MA, NCC, LPC

  • Professional Counselor
  • Southport, NC
National Provider Identifier
1528292810
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7086 Issued in NC
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

Updated by the provider on Mar 8, 2019

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 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

IdentifierTypeStateIssuer
6104503MedicaidNC

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

LicenseStateTypeSpecialty
35323NCMDProfessional Counselor
7086NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.