Individual provider Active NPI

Rebecca Hyldahl

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1659778462
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0800338 Issued in OH
Practice address
2651 Observatory Ave
Cincinnati, OH 45208-2040
Phone
(513) 310-8408
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0800338 OH Primary

Addresses

Primary practice location

2651 Observatory Ave
Cincinnati, OH 45208-2040

Mailing address

2651 Observatory Ave
Cincinnati, OH 45208-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001510 KY Practitioner - Mental Health Counselor 7012360811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 E 5TH St
Newport, KY 41071-1618
Phone (859) 578-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0800338OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Jan 1, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Jan 1, 2024 Accepting new patients
Hyde Park Counseling Professionals Past Accepting new patients
Hyde Park Counseling Professionals Past Accepting new patients

Locations

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

12 E 5th St
Newport, KY 41071
Phone (859) 491-6510

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1659778462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 OBSERVATORY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 OBSERVATORY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082040",
            "telephone_number": "513-310-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLDAHL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0800338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.