Rebecca A Jeffers, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16069 Issued in TX

Practice address

4200 S Hulen St Ste 662
Fort Worth, TX 76109-4997

Phone

(817) 219-7913

Fax

(817) 886-8616

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1679627277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 OLD MILL RUN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337025",
            "telephone_number": "817-219-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 662",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094997",
            "telephone_number": "817-219-7913",
            "fax_number": "817-886-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "103300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4169LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "490819",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028292301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faraz Ahmed Jeelani, M.D.
• Jeff C Jenkins DDS PC
• James Michael Jeffcoat
• Chelsea Alexandra Jeffers, LMSW
• Erin Leeann Jeffers, HIS
• Kathy Jefferson, COA
• Taylor Jefferson
• Jeffery K Hawkins, MD, PLLC
• Jeffery K Hawkins, MD, PLLC
• Jeffrey L. Morer, OD, PA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.