Rebecca L. McConnell, AA, BA, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52134 Issued in CA

Practice address

2512 Samaritan CT
Suite I
San Jose, CA 95124-4002

Phone

(408) 444-1303

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts, Bachelor of Arts, Master of Arts

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1861815763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3240",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950701240",
            "telephone_number": "408-444-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT",
            "address_2": "SUITE I",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-444-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "AA, BA, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "52134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "52134",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J McCollough, CPSS
• Amanda McCollum
• Marcella McCollum, M.A., CCC-SLP
• Taylor McCombs
• Autumn Cade McConnell, M.A., LMFT
• Timothy Allen McConnell, DAOM
• McCormack Drugs Inc
• Marta McCormack
• Matthew Thomas McCormack, D.C.
• Mel David McCormick, AMFT

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.