Individual provider Active NPI

Rebecca Elizabeth Buist, COUNSELING INTERN

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1831750728
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1801301-TRNE Issued in OH
Practice address
4555 Lake Forest Dr
Blue Ash, OH 45242-3785
Phone
(513) 318-0153
NPI assigned
Jun 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C.1801301-TRNE OH Primary

Addresses

Primary practice location

4555 Lake Forest Dr
Blue Ash, OH 45242-3785

Mailing address

4555 Lake Forest Dr
Blue Ash, OH 45242-3785
Phone (513) 318-0153

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@samnabilcounseling.com

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
C.1801301-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Nabil Counseling Services Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1831750728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-318-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-318-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUIST",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "COUNSELING INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801301-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@samnabilcounseling.com",
            "affiliation": "N",
            "address_1": "4555 Lake Forest Dr",
            "city": "Blue Ash",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452423785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; 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.