Individual provider Active NPI

Rebecca M Moles, LPCC

  • Mental Health Counselor
  • Centerville, OH
National Provider Identifier
1568985570
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901357 Issued in OH
Practice address
43 Iron Gate Park Dr
Centerville, OH 45459-4616
Phone
(937) 476-1429
Fax
(937) 707-6558
NPI assigned
Jul 21, 2017
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 E.1901357 OH Primary

Addresses

Primary practice location

43 Iron Gate Park Dr
Centerville, OH 45459-4616

Mailing address

43 Iron Gate Park Dr
Centerville, OH 45459-4616
Phone (937) 476-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260210004338 OH Practitioner - Mental Health Counselor 7517446495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 Iron Gate Park Dr
Centerville, OH 45459-4616
Phone (937) 476-1429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901357OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SHV Counseling, LLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

43 Iron Gate Park Dr
Centerville, OH 45459
Phone (937) 204-3867

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1568985570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 IRON GATE PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594616",
            "telephone_number": "937-476-1429",
            "fax_number": "937-707-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 IRON GATE PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594616",
            "telephone_number": "937-476-1429",
            "fax_number": "937-707-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLES",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.