Active NPI
Rebecca Ann Wilkinson, MA, LPC, LCPAT
- Professional Counselor
- Washington, DC
National Provider Identifier
1609268036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-21671
- Practice address
- 3912 Jenifer St NW
Washington, DC 20015-1950 - Phone
- (202) 352-5225
- NPI assigned
- Feb 23, 2015
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ATC044 | MD | |
| Professional Counselor | 101YP2500X | LPC-21671 | AZ | Primary |
| Art Therapist | 221700000X | ATC044 | NU |
Addresses
Primary practice location
3912 Jenifer St NW
Washington, DC 20015-1950
Mailing address
650 W River Rd
Tucson, AZ 85704-3730
Phone (202) 352-5225
Other practice location 1
650 W River Rd
Tucson, AZ 85704-3730
Phone (120) 235-2522
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 |
|---|---|---|---|
| ATC044 | MD | MD | Mental Health Counselor |
| LPC-21671 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Wellbeing Workshops | Art Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Art Therapist
- Washington, DC
- NPI 1215393921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1609268036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W RIVER RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043730",
"telephone_number": "202-352-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 JENIFER ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151950",
"telephone_number": "202-352-5225"
}
],
"practiceLocations": [
{
"address_1": "650 W River Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857043730",
"country_code": "US",
"telephone_number": "120-235-2522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, LPC, LCPAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "ATC044",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-21671",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": "ATC044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.