Individual provider Active NPI

Rebecca Stuyvesant, MA

  • Mental Health Counselor
  • Spencer, WV
National Provider Identifier
1558747360
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
227 Clay Rd
Spencer, WV 25276-6906
Phone
(304) 927-5200
Fax
(304) 927-5201
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

227 Clay Rd
Spencer, WV 25276-6906

Mailing address

227 Clay Rd
Spencer, WV 25276-6906
Phone (304) 927-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20231220001018 WV Practitioner - Mental Health Counselor 4587014303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbrook Health Services IncGroup PAC ID 3375443054, 31 clinicians

Practice addresses (Care Compare)

2121 7TH St
Parkersburg, WV 26101-3803
Phone (304) 485-1721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Health Services, Inc. Current Accepting new patients
Westbrook Health Services, Inc. CurrentSince Oct 24, 2023 Accepting new patients

Locations

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

227 Clay Rd
Spencer, WV 25276
Phone (304) 485-1721

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1558747360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CLAY RD",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252766906",
            "telephone_number": "304-927-5200",
            "fax_number": "304-927-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CLAY RD",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252766906",
            "telephone_number": "304-927-5200",
            "fax_number": "304-927-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUYVESANT",
        "first_name": "REBECCA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.