Active NPI
Rebecca Lynn Pollock, MA, LPC
- Counselor
- Glenview, IL
National Provider Identifier
1659784429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.008462
- Practice address
- 3080 W Lake Ave
Glenview, IL 60026-1210 - Phone
- (847) 724-2620
- Fax
- (847) 724-3499
- NPI assigned
- Jun 9, 2014
- 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 | 178.008462 | IL | Primary |
Addresses
Primary practice location
3080 W Lake Ave
Glenview, IL 60026-1210
Mailing address
3080 W Lake Ave
Glenview, IL 60026-1210
Phone (847) 724-2620
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.008462 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Services of Glenview-Northbrook | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Glenview, IL
- NPI 1386058196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1659784429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 W LAKE AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261210",
"telephone_number": "847-724-2620",
"fax_number": "847-724-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 W LAKE AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261210",
"telephone_number": "847-724-2620",
"fax_number": "847-724-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.008462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.