Rebecca Rae De Rosa, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012923 Issued in IL

Practice address

3504 Commercial Ave
Northbrook, IL 60062-1821

Phone

(847) 272-5111

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Center of Grayslake LTDGroup PAC ID 7214214378, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center of Grayslake LTD.

  • Clinical Social Worker
  • Grayslake, IL
  • NPI 1194267385
  Medicare reassignment Care Compare group NPD
• Glenkirk

  • Developmentally Disabled Services Day Training Agency
  • Northbrook, IL
  • NPI 1184840969
  NPD (past)
• Glenkirk

  • Adult Mental Health Clinic/Center
  • Northbrook, IL
  • NPI 1548852072
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1871058644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 COMMERCIAL AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621821",
            "telephone_number": "847-272-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 COMMERCIAL AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621821",
            "telephone_number": "847-272-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3504 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621821",
            "country_code": "US",
            "telephone_number": "847-272-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE ROSA",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Davis
• Phyllis Dawson, PSY.D.
• Dba- Nicolette Komie and Associates
• Alyssa De Chavez
• Jose Abraham De la Torre
• Caitlin Elizabeth Dean
• Sara Deangelis
• Deanna Ned, PLLC (Enrichment Psychology)
• Debbie Strauss LCSW, LLC
• Melissa Debiase, RBT-18-66999

• Professional Counselor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.