Active NPI
Rebecca L Nix, LPC
- Professional Counselor
- Gainesville, GA
National Provider Identifier
1740561315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006169
- Practice address
- 915 Interstate Ridge
Suite G
Gainesville, GA 30501-7076 - Phone
- (770) 207-2900
- Fax
- (678) 513-5836
- NPI assigned
- Sep 8, 2011
- Last updated
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006169 | GA | Primary |
Addresses
Primary practice location
915 Interstate Ridge
Suite G
Gainesville, GA 30501-7076
Mailing address
4331 Thurmond Tanner Parkway
Flowery Branch, GA 30542-2829
Phone (678) 513-5700
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 |
|---|---|---|---|
| LPC006169 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1740561315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 THURMOND TANNER PARKWAY",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305422829",
"telephone_number": "678-513-5700",
"fax_number": "678-513-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 INTERSTATE RIDGE",
"address_2": "SUITE G",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305017076",
"telephone_number": "770-207-2900",
"fax_number": "678-513-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
- Derek Nathaniel Nikolaus
- Joy Nish Nix, DO
- William A Nish, M.D.
- Margaret Jesseca Nivens
- Billie Nix-Beddingfield, FNP
- NJ Medical Services PC (United Pain and Wellness Center of NE GA)
- Christine Marie Noguere, LPC
- Sherry M Nored, CNM
- North Atlanta Podiatry GRP,PC (Foot and Ankle Centers of NE Ga)
- North Ga Foot and Ankle Spec
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.