Rebecca P Andrews, LPC
Individual provider Active NPI Professional Counselor · Bountiful, UT
NPI 1730239534 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730239534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5632304-6004 (UT)
- Practice address
- 1355 No Main
Ste 1
Bountiful, UT 84010 - Phone
- (801) 259-3883
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5632304-6004 | UT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Solutions, Inc. | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5632304-6004 | UT | Yes |
Addresses
Primary practice location
1355 No Main
Ste 1
Bountiful, UT 84010
Mailing address
1355 No Main
Ste 1
Bountiful, UT 84010
Phone (801) 259-3883
Other providers in Bountiful, UT
- Melissa Ann Anderson
- Nicolas Anderson
- Ryan K Anderson
- Stephen Karl Anderson
- Andrea D Hanson Lcmhc PLLC
- Anova Dermatology PC
- Ashtyn Kaida Archibald
- Kayla Archibald
- Shane A Archibald
- Angelica Arenas
All providers in Bountiful, UT · Professional Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.