Rebecca Mary Leacock, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37165 Issued in CA

Practice address

4 Jeannette Prandi Way
San Rafael, CA 94903-1133

Phone

(415) 507-2926

Fax

(415) 499-6978

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

Yes

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 NM

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, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling Albuquerque

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1386279297
  Medicare reassignment
• Marin County Juvenile Probation

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1306017512
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1801060504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-507-2926",
            "fax_number": "415-499-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEANNETTE PRANDI WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031133",
            "telephone_number": "415-507-2926",
            "fax_number": "415-499-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "REBECCA",
        "middle_name": "MARY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "37165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lazzarotto
• Catherine Le, PHARMD
• Christine VI Le
• Williamson Le
• Michael Wayne Leach
• Camri Rene Learson
• Leavelight, LLC
• Kristen Lebacqz, MFT
• Amy Lee, PSY.D.
• Amy Yumin Cheng Lee, DC

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.