Rebecca Pearl Childs, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002522A Issued in IN

Practice address

3209 W Smith Valley Rd
Suite 226
Greenwood, IN 46142-8495

Phone

(317) 884-5075

Fax

(317) 884-5076

NPI assigned

Sep 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379203200000",
    "number": "1811323462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 226",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-5075",
            "fax_number": "317-884-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 226",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-5075",
            "fax_number": "317-884-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "REBECCA",
        "middle_name": "PEARL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002522A",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisanna Chick, RBT
• Victoria K Chilcote, DPT
• Kaelyn Childers
• Linda Kathleen Heiden Childers, LCSW
• Erica Childress, PA-C
• Norma June Chitwood, LMHC
• Jordan Elisabeth Chlebowy, DMD
• CHN JMH Ventures LLC (Stones Crossing Imaging Services)
• CHN JMH Ventures LLC (Stones Crossing PT & Rehabilitation)
• Felicia Nicole Choate

• Mental Health Counselor in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.