Organization Active NPI

Rebekah Kanefsky, LPC, LLC

  • Professional Counselor
  • Stamford, CT
National Provider Identifier
1790138618
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REBEKAH KANEFSKY, LPC, LLC
Practice address
66 Pershing Ave
Stamford, CT 06905-3328
Phone
(646) 334-2420
NPI assigned
Jul 15, 2016
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Rebekah Kanefsky, LPCNPI 1649630799
Title
Provider
Phone
(646) 334-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

66 Pershing Ave
Stamford, CT 06905-3328

Mailing address

1127 High Ridge Rd Ste 245
Stamford, CT 06905-1203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240116000576 CT Part B Supplier - Clinic/Group Practice 7911359922 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory
Tax ID family
Rebekah Kanefsky LPC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1790138618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 HIGH RIDGE RD STE 245",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PERSHING AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053328",
            "telephone_number": "646-334-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH KANEFSKY, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "KANEFSKY",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "646-334-2420",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.