Rebecca A Rzegocki

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.009190 Issued in IL

Practice address

525 E North St
Suite B
Bradley, IL 60915-1185

Phone

(815) 933-0667

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• New Horizons New Beginnings, Inc

  • Behavior Analyst
  • Bradley, IL
  • NPI 1013375401
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1619378783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N 5000W RD",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609017713",
            "telephone_number": "630-723-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E NORTH ST",
            "address_2": "SUITE B",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151185",
            "telephone_number": "815-933-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZEGOCKI",
        "first_name": "REBECCA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Erin Robertson, MA, LPC
• Evelyn Rodriguez, OT
• Bailey R Roth
• Andrea Rupniewski
• Ryan Center for Hand Therapy, P.C.
• Juan Santiago-Palma, MD
• Khadejia Sawyers
• Theresa Schlagel, PHARM. D.
• Amber L Schnepp
• Michelle B Seliga, MOT

• Mental Health Counselor in Bradley, IL
• Providers in Bradley, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.