Individual provider Active NPI

Rebecca Marie Venneri, MA, CAC DIPLOMATE

  • Addiction (Substance Use Disorder) Counselor
  • Duncannon, PA
National Provider Identifier
1659508646
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5353 Issued in PA
Practice address
1319 Newport Rd
Duncannon, PA 17020-8941
Phone
(717) 350-9534
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5353 PA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1319 Newport Rd
Duncannon, PA 17020-8941

Mailing address

1319 Newport Rd
Duncannon, PA 17020-8941
Phone (717) 350-9534

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5353PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1659508646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 NEWPORT RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170208941",
            "telephone_number": "717-350-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NEWPORT RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170208941",
            "telephone_number": "717-350-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNERI",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "MA, CAC DIPLOMATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "5353",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncannon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.