Individual provider Active NPI

Cynthia Rehberg

  • Professional Counselor
  • Roseburg, OR
National Provider Identifier
1669949806
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
R5487 Issued in OR
Practice address
545 W Umpqua St Ste 1
Roseburg, OR 97471-2979
Phone
(541) 957-5646
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X R5487 OR Primary

Addresses

Primary practice location

545 W Umpqua St Ste 1
Roseburg, OR 97471-2979

Mailing address

545 W Umpqua St Ste 1
Roseburg, OR 97471-2979
Phone (541) 957-5646

Other identifiers 1

IdentifierTypeStateIssuer
R5487OtherORLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260602001830 CO Practitioner - Mental Health Counselor 9931670874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

870 S Colorado Blvd
Suite 1067
Denver, CO 80246-2080
Phone (248) 704-5837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R5487ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Childrens Center, Inc PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 3

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1669949806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W UMPQUA ST STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712979",
            "telephone_number": "541-957-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W UMPQUA ST STE 1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712979",
            "telephone_number": "541-957-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERG",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R5487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R5487",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.