Individual provider Active NPI

Rebecca Greathouse Wren, M.ED., LPCS, LSOTP-S

  • Professional Counselor
  • Fort Davis, TX
National Provider Identifier
1851692321
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9061 Issued in TX
Practice address
107 Deer Ridge Dr
Fort Davis, TX 79734-2507
Phone
(432) 426-9034
NPI assigned
Nov 15, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9061 TX Primary

Addresses

Primary practice location

107 Deer Ridge Dr
Fort Davis, TX 79734-2507

Mailing address

HC 75 Box 203
Fort Davis, TX 79734-5013
Phone (432) 426-9034

Other names 1

  • Ms. Rebecca Hale Greathouse Former name

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1851692321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 75 BOX 203",
            "city": "FORT DAVIS",
            "state": "TX",
            "postal_code": "797345013",
            "telephone_number": "432-426-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DEER RIDGE DR",
            "city": "FORT DAVIS",
            "state": "TX",
            "postal_code": "797342507",
            "telephone_number": "432-426-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "REBECCA",
        "middle_name": "GREATHOUSE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPCS, LSOTP-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GREATHOUSE",
            "middle_name": "HALE",
            "prefix": "MS.",
            "credential": "M.ED., LPCS, LSOTP-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Davis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.