Rebekah D Richard, LMSW
Individual provider Active NPI Mental Health Counselor · Jal, NM
NPI 1609586189 · NPPES record last updated Apr 5, 2023
Key facts
- NPI
- 1609586189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB-2022-0830 (NM)
- Practice address
- 805 W Kansas Ave
Jal, NM 88252-7690 - Phone
- (575) 249-2561
- NPI assigned
- Nov 25, 2022
- Reactivated
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Texas Counseling and Guidance Inc
Practice addresses (Care Compare)
102 N Main St
Suite C Permian Basin Counseling and Guidance
Carlsbad, NM 88220-6205
Phone (325) 944-2561
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231215000458 | NM | Practitioner - Mental Health Counselor | 7315396348 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2022-0830 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Counseling & Guidance Inc | Mental Health | Current |
Accepting new patients |
Locations
102 N Main St
Ste C
Carlsbad, NM 88220
5419 N Lovington Hwy
Ste 24
Hobbs, NM 88240
Phone (505) 392-0123
502 W Alto Dr
Hobbs, NM 88240
Phone (575) 249-2561
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | CTB-2022-0830 | NM | Yes |
Addresses
Primary practice location
805 W Kansas Ave
Jal, NM 88252-7690
Mailing address
36 E Twohig Ave Ste 600
San Angelo, TX 76903-6433
Phone (325) 944-2561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11222022 | Other | NM | CBT |
Other providers in Jal, NM
- Taylah Mata
- Michael'S Prescription Corner
- Michael'S Prescription Corner LLC
- Denise Leann Myrick
- Dane Person
All providers in Jal, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.