Individual provider Active NPI

Rebecca Whitlock, LMHC

  • Mental Health Counselor
  • Sioux City, IA
National Provider Identifier
1760764880
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001396 Issued in IA
Practice address
1214 Pierce St
Sioux City, IA 51105-1417
Phone
(712) 202-2968
Fax
(712) 201-4660
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001396 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1214 Pierce St
Sioux City, IA 51105-1417

Mailing address

1214 Pierce St
Sioux City, IA 51105-1417
Phone (712) 202-2968

Other practice location 1

4 W 37th Street Pl
Sioux City, IA 51104-2106
Phone (712) 204-6742

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
10026887200MedicaidIA
IA114479MedicaidIA

Other names 1

NPPES NPI Registry
  • Rebecca Limke Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2021.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1760764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051417",
            "telephone_number": "712-202-2968",
            "fax_number": "712-201-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051417",
            "telephone_number": "712-202-2968",
            "fax_number": "712-201-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W 37th Street Pl",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511042106",
            "country_code": "US",
            "telephone_number": "712-204-6742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "REBECCA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026887200",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IA114479",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LIMKE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.