NPIMap

Individual provider Active NPI

Rebecca Carr

  • Counselor
  • Suquamish, WA
National Provider Identifier
1578725313
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC00049111 Issued in WA
Practice address
18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533
Phone
(360) 394-8558
Fax
(360) 598-1724
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00049111 WA Primary

Addresses

Primary practice location

18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533

Mailing address

18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533
Phone (360) 394-8558

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

State licenses

LicenseStateTypeSpecialty
RC00049111WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suquamish Tribal PastSince Feb 24, 2022 Accepting new patients
Suquamish Tribal Past Accepting new patients

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1578725313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE UNIT 107",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929533",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18490 SUQUAMISH WAY NE UNIT 107",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929533",
            "telephone_number": "360-394-8558",
            "fax_number": "360-598-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00049111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suquamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.