Individual provider Active NPI

Rebecca Ehrhardt Hedrick, M.ED, LPC

  • Professional Counselor
  • Mountain BRK, AL
National Provider Identifier
1871265264
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05108 Issued in AL
Practice address
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone
(205) 994-2798
Fax
(205) 778-5304
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 LPC05108 AL Primary

Addresses

Primary practice location

3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418

Mailing address

4416 5TH Ave S Apt F
Birmingham, AL 35222-2820

Other practice location 1

1117 22nd St S Ste 107
Birmingham, AL 35205-2813
Phone (205) 533-1692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240221002901 AL Practitioner - Mental Health Counselor 3870937576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC05108ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K & F Investments LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 994-2798

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1871265264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 5TH AVE S APT F",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 206",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132418",
            "telephone_number": "205-994-2798",
            "fax_number": "205-778-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 22nd St S Ste 107",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352052813",
            "country_code": "US",
            "telephone_number": "205-533-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "REBECCA",
        "middle_name": "EHRHARDT",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.