Active NPI
Rebecca L Dries, LPCMH
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1699311381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000901
- Practice address
- 1201 W 7TH St Apt 3
Wilmington, DE 19805-3258 - Phone
- (404) 821-7036
- NPI assigned
- Nov 18, 2019
- Last updated
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000901 | DE | Primary |
Addresses
Primary practice location
1201 W 7TH St Apt 3
Wilmington, DE 19805-3258
Mailing address
1201 W 7TH St Apt 3
Wilmington, DE 19805-3258
Phone (404) 821-7036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC-0000901 | Other | DE | STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000901 | DE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1699311381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W 7TH ST APT 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053258",
"telephone_number": "404-821-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 7TH ST APT 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053258",
"telephone_number": "404-821-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIES",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "LPCMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION",
"identifier": "PC-0000901",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.