Individual provider Active NPI

Rebekah Shea Willis, MS, LPC, PMH-C

  • Mental Health Counselor
  • Midlothian, TX
National Provider Identifier
1851960447
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79583 Issued in TX
Practice address
3021 Spring CT
Midlothian, TX 76065-2673
Phone
(469) 693-9955
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79583 TX
Professional Counselor 101YP2500X LPC.0019028 CO
Mental Health Counselor 101YM0800X 79583 TX Primary

Addresses

Primary practice location

3021 Spring CT
Midlothian, TX 76065-2673

Mailing address

3021 Spring CT
Midlothian, TX 76065-2673
Phone (469) 693-9955

Other practice location 1

4625 Lindell Blvd Fl 2
Saint Louis, MO 63108-3739
Phone (914) 919-9200

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 Science

State licenses

LicenseStateTypeSpecialty
79583TXMDMental Health Counselor
LPC.0019028COMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: rebekah.willis.1@25307.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1851960447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 SPRING CT",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652673",
            "telephone_number": "469-693-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 SPRING CT",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652673",
            "telephone_number": "469-693-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 Lindell Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083739",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "REBEKAH",
        "middle_name": "SHEA",
        "credential": "MS, LPC, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79583",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019028",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.