Individual provider Active NPI

Rebekah Paone, LMHC

  • Mental Health Counselor
  • Oakland Park, FL
National Provider Identifier
1689869430
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 4431 Issued in FL
Practice address
201 NE 40TH CT
Oakland Park, FL 33334-1311
Phone
(954) 924-3875
Fax
(954) 924-3873
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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 MH 4431 FL Primary

Addresses

Primary practice location

201 NE 40TH CT
Oakland Park, FL 33334-1311

Mailing address

14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 479-1800

Other identifiers 1

IdentifierTypeStateIssuer
MH 4431MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
MH 4431FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1689869430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-479-1800",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE 40TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341311",
            "telephone_number": "954-924-3875",
            "fax_number": "954-924-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAONE",
        "first_name": "REBEKAH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH 4431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.