Active NPI
Rebekah Lynn Favia, LPC, RDN
- Mental Health Counselor
- Bend, OR
National Provider Identifier
1831562289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C8089
- Practice address
- 548 SW 13TH St
Bend, OR 97702-3184 - Phone
- (541) 388-8459
- Fax
- (541) 388-8116
- NPI assigned
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10166851 | OR | |
| Mental Health Counselor | 101YM0800X | C8089 | OR | Primary |
Addresses
Primary practice location
548 SW 13TH St
Bend, OR 97702-3184
Mailing address
1333 NW 9TH St
Prineville, OR 97754-1482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240425002785 | OR | Practitioner - Mental Health Counselor | 8628418555 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rimrock Trails Treatment Services
Practice addresses (Care Compare)
215 SW 7TH St
Redmond, OR 97756-2113
Phone (541) 388-8459
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10166851 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Redmond Family Medicine Center | Current | Accepting new patients | |
| Rimrock Trails Treatment Services | Current | Accepting new patients |
Locations
548 SW 13th St
Bend, OR 97702
Phone (541) 388-8459
1333 NW 9th St
Prineville, OR 97754
Phone (541) 388-8459
215 SW 7th St
Redmond, OR 97756
Phone (541) 316-2277
Organizations & group practices 2
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Prineville, OR
- NPI 1194873406
OR
-
- Family Medicine Physician
- Redmond, OR
- NPI 1639256258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1831562289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 NW 9TH ST",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 SW 13TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977023184",
"telephone_number": "541-388-8459",
"fax_number": "541-388-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVIA",
"first_name": "REBEKAH",
"middle_name": "LYNN",
"credential": "LPC, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2024-04-05",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10166851",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C8089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.