Active NPI
Rebecca L Harrel, LSCSW,LCMFT
- Clinical Social Worker
- Wichita, KS
National Provider Identifier
1700880283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1144
- Practice address
- 9415 E Harry St
Building 800
Wichita, KS 67207-5089 - Phone
- (316) 686-6303
- Fax
- (316) 686-6764
- NPI assigned
- Jun 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1144 | KS | Primary |
| Marriage & Family Therapist | 106H00000X | 101 | KS |
Addresses
Primary practice location
9415 E Harry St
Building 800
Wichita, KS 67207-5089
Mailing address
9415 E Harry St
Building 800
Wichita, KS 67207-5089
Phone (316) 686-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100330080B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1855 N Webb Rd
Wichita, KS 67206-3413
825 N Waco Ave
Wichita, KS 67203-3939
Phone (316) 201-6047
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 78.13
- Improvement activities
- 40
- Cost
- 72.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101 | KS | MD | Marriage & Family Therapist |
| 1144 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Family Counselors LLC | Current | Accepting new patients | |
| Soma Recovery LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
825 N Waco Ave
Wichita, KS 67203
Phone (316) 201-6047
1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Wichita, KS
- NPI 1861642803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1700880283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 E HARRY ST",
"address_2": "BUILDING 800",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075089",
"telephone_number": "316-686-6303",
"fax_number": "316-686-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9415 E HARRY ST",
"address_2": "BUILDING 800",
"city": "WICHITA",
"state": "KS",
"postal_code": "672075089",
"telephone_number": "316-686-6303",
"fax_number": "316-686-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARREL",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LSCSW,LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "1144",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "101",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100330080B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.