Individual provider Active NPI

Rebekah Carter

  • Behavior Analyst
  • Glen Carbon, IL
National Provider Identifier
1760043236
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-36177
Practice address
117 Glen Crossing Rd
Glen Carbon, IL 62034-1405
Phone
(888) 308-3728
Fax
(630) 429-9123
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-36177 Primary

Addresses

Primary practice location

117 Glen Crossing Rd
Glen Carbon, IL 62034-1405

Mailing address

245 W Roosevelt Rd Ste 103
West Chicago, IL 60185-4819
Phone (888) 308-3728

Other names 1

  • Rebekah Nester Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebekah@behaviortherapyspecialists.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Perspective Inc. Behavior Analyst CurrentSince Mar 20, 2022 Accepting new patients
Acorn Health of Illinois, LLC Behavior Analyst PastSince Dec 9, 2019 Accepting new patients

Locations

117 Glen Crossing Rd
Glen Carbon, IL 62034
Phone (618) 317-0006

245 W Roosevelt Rd
Ste 103
West Chicago, IL 60185
Phone (630) 999-0401

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1760043236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W ROOSEVELT RD STE 103",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601854819",
            "telephone_number": "888-308-3728",
            "fax_number": "630-429-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GLEN CROSSING RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341405",
            "telephone_number": "888-308-3728",
            "fax_number": "630-429-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "REBEKAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-36177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah@behaviortherapyspecialists.com",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Eagle Ctr Ste 1",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "NESTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.