Individual provider Active NPI

Rebecca Hipolito Spring, LIC. PSYCH TECH

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1780897132
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PT24299 Issued in CA
Practice address
1750 S. Lewis Rd.
Telecare Camarillo
Camarillo, CA 93010
Phone
(805) 393-3669
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PT24299 CA Primary

Addresses

Primary practice location

1750 S. Lewis Rd.
Telecare Camarillo
Camarillo, CA 93010

Mailing address

1750 S. Lewis Rd.
Telecare Camarillo
Camarillo, CA 93010-2665
Phone (805) 393-3669

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1780897132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S. LEWIS RD.",
            "address_2": "TELECARE CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102665",
            "telephone_number": "805-393-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S. LEWIS RD.",
            "address_2": "TELECARE CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-393-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRING",
        "first_name": "REBECCA",
        "middle_name": "HIPOLITO",
        "credential": "LIC. PSYCH TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PT24299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.