Individual provider Active NPI

Rebecca L Farrell, LPCC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1770716227
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0767 Issued in KY
Practice address
4110 Guadalupe St BLDG 781 Ste 410
Austin, TX 78751-4223
Phone
(512) 851-0901
NPI assigned
Sep 1, 2009
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 0767 KY Primary

Addresses

Primary practice location

4110 Guadalupe St BLDG 781 Ste 410
Austin, TX 78751-4223

Mailing address

4110 Guadalupe St BLDG 781 Ste 410
Austin, TX 78751-4223
Phone (512) 851-0901

Other practice location 1

360 Campbell Ave SW
Roanoke, VA 24016-3625
Phone (540) 563-5316

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@planctx.org Direct Planned Living Assistance Network of Central Texas Inc.

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
0767KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Living Assistance Network of Central Texas Inc. CurrentSince Oct 16, 2022 Accepting new patients
Family Service of Roanoke Valley PastSince Dec 12, 1990 Accepting new patients

Locations

4110 Guadalupe St
Bldg 781
Austin, TX 78751
Phone (512) 452-0381

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1770716227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST BLDG 781 STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-851-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST BLDG 781 STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-851-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Campbell Ave SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240163625",
            "country_code": "US",
            "telephone_number": "540-563-5316",
            "fax_number": "540-563-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@planctx.org",
            "affiliation": "Y",
            "affiliationName": "Planned Living Assistance Network of Central Texas Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4110 Guadalupe St Bldg 781 Ste 410",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787514223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.