Rebecca Jane Knowles, LPCC
Individual provider Active NPI Mental Health Counselor · Chaparral, NM
NPI 1629277181 · NPPES record last updated Jul 15, 2007
Key facts
- NPI
- 1629277181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0080801 (NM)
- Practice address
- 204 Autumn Sage LN
Chaparral, NM 88081-7732 - Phone
- (505) 350-5937
- Fax
- (505) 824-4388
- NPI assigned
- Jul 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0080801 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0080801 | NM | Yes |
Addresses
Primary practice location
204 Autumn Sage LN
Chaparral, NM 88081-7732
Mailing address
204 Autumn Sage LN
Chaparral, NM 88081-7732
Phone (505) 350-5937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM101318 | Medicaid | NM |
Other providers in Chaparral, NM
- Kellie Hoskins
- Mahmood R Hurab
- Ruby Ibarra
- Kemp Inc.
- Jessica Kinsey
- Kyong Yol Ko
- La Clinica de Familia, Incorporated
- La Clinica de Familia, Incorporated
- La Clinica de Familia, Incorporated
- La Clinica de Familia, Incorporated
All providers in Chaparral, 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 Jul 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.