Individual provider Active NPI

Rebecca Ann Stretz

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1710214002
Registry record updated Nov 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1022 Issued in KS
Practice address
12204 Farley St
Overland Park, KS 66213-1685
Phone
(913) 681-3169
NPI assigned
Nov 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2009

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 1022 KS Primary

Addresses

Primary practice location

12204 Farley St
Overland Park, KS 66213-1685

Mailing address

12204 Farley St
Overland Park, KS 66213-1685
Phone (913) 681-3169

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
1022KSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1710214002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 FARLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131685",
            "telephone_number": "913-681-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 FARLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131685",
            "telephone_number": "913-681-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETZ",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; 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.