Rebecca Mae, MA MFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P103766 Issued in NY

Practice address

243 Nassau Blvd
Garden City S, NY 11530-5532

Phone

(516) 387-5143

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Chun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nassau Wellness Marriage and Family Therapy PLLC

  • Marriage & Family Therapist
  • Garden City, NY
  • NPI 1528717063
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1821799198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 207TH ST FL 1",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641112",
            "telephone_number": "718-640-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NASSAU BLVD",
            "city": "GARDEN CITY S",
            "state": "NY",
            "postal_code": "115305532",
            "telephone_number": "516-387-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAE",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "P103766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CHUN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Cenzoprano, OTR/L
• Matthew James Corrado, PHARMD
• Hands on Occupational Therapy PLLC (The Physical Rehabilitation Center)
• Lorelei Luna
• Denise Martin, CCC-SLP
• One Care Physical Therapy & Rehabilitation P C
• Maria Deborrah Reed, PT
• Sal R Varano, DDS

• Professional Counselor in Garden City S, NY
• Providers in Garden City S, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.