Individual provider Active NPI

Rebecca Selover, LMHC

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1811050099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8871 Issued in FL
Practice address
187 E Crystal Lake Ave
Ste. 2005
Lake Mary, FL 32746-3207
Phone
(407) 617-2843
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH 8871 FL Primary

Addresses

Primary practice location

187 E Crystal Lake Ave
Ste. 2005
Lake Mary, FL 32746-3207

Mailing address

672 Lakeworth Cir
Heathrow, FL 32746-5369
Phone (407) 829-7308

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
MH 8871FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811050099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 LAKEWORTH CIR",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327465369",
            "telephone_number": "407-829-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E CRYSTAL LAKE AVE",
            "address_2": "STE. 2005",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463207",
            "telephone_number": "407-617-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELOVER",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.