Rebecca Coull, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF000887 Issued in PA

Practice address

162 South 2ND Ave
D
Clarion, PA 16214-1621

Phone

(814) 900-4510

Fax

(814) 900-4511

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KRD Counseling and Wellness Center LLCGroup PAC ID 6800239088, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KRD Counseling and Wellness Center, LLC

  • Professional Counselor
  • Clarion, PA
  • NPI 1134867930

  Marriage & Family Therapist, PA

  Medicare reassignment Care Compare group NPD
• Hope Center for Counseling and Mental Wellness, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shippenville, PA
  • NPI 1629439856
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1780035709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S 2ND AVE",
            "address_2": "SUITE D",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148734",
            "telephone_number": "814-900-4510",
            "fax_number": "814-900-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SOUTH 2ND AVE",
            "address_2": "D",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141621",
            "telephone_number": "814-900-4510",
            "fax_number": "814-900-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULL",
        "first_name": "REBECCA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Conforto Jr., B.S.
• Eva D Conner, BS
• Sara Elizabeth Conner, MS
• Eric Conti
• Jessica Lea Cosby, MA LPC RPT-S
• Counseling Connections, LLC
• Benjamin Orbic Crawford, ATC, LAT, EMT
• Theresa Crawford, B.S
• Thomas W Crissman, M.A., LPC, NCC
• Catherine Ann Cunningham, D.O.

• All providers in Clarion, PA
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.