Active NPI
Rebecca Colleen Pistilli, MFT
- Counselor
- Anaheim, CA
National Provider Identifier
1609892306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 505 N Euclid St
Suite 300
Anaheim, CA 92801-5506 - Phone
- (714) 450-4225
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
505 N Euclid St
Suite 300
Anaheim, CA 92801-5506
Mailing address
1400 Bristol St N
Suite 245B
Newport Beach, CA 92660-2911
Phone (949) 891-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2024 through Mar 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47446 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1609892306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BRISTOL ST N",
"address_2": "SUITE 245B",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602911",
"telephone_number": "949-891-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N EUCLID ST",
"address_2": "SUITE 300",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015506",
"telephone_number": "714-450-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTILLI",
"first_name": "REBECCA",
"middle_name": "COLLEEN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.