Individual provider Active NPI

Rebecca Leeaundra Carelock, LPC

  • Professional Counselor
  • Sharonville, OH
National Provider Identifier
1861153066
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2203948 Issued in OH
Practice address
11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201
Phone
(513) 334-6181
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 C.2203948 OH Primary

Addresses

Primary practice location

11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201

Mailing address

11438 Lebanon Rd Unit H
Sharonville, OH 45241-6201
Phone (513) 334-6181

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.hellomentalhealth.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.2203948OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1861153066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT H",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-334-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD UNIT H",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-334-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELOCK",
        "first_name": "REBECCA",
        "middle_name": "LEEAUNDRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2203948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hellomentalhealth.com/",
            "affiliation": "N",
            "address_1": "11438 Lebanon Rd Unit H",
            "city": "Sharonville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452416201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sharonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.