Rebekah B Mauthe, PPC

Individual provider Active NPI Professional Counselor · Cheyenne, WY

NPI 1851023063 · NPPES record last updated Oct 4, 2022

Key facts

NPI
1851023063
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1319 (WY)
Practice address
1103 Old Town LN
Cheyenne, WY 82009-4353
Phone
(307) 426-4855
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PPC-1318WYMDProfessional Counselor
1319WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling Services LLC Past
since Jul 1, 2022
Accepting new patients
Steven D. Newman, Psy.D, Abpp, PC Past
since Jul 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PPC-1318 WY
Professional Counselor 101YP2500X 1319 WY Yes

Addresses

Primary practice location

1103 Old Town LN
Cheyenne, WY 82009-4353

Mailing address

1103 Old Town LN
Cheyenne, WY 82009-4353
Phone (307) 426-4855

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · Professional Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.