Active NPI
Rebecca Robertson, MS LPC
- Professional Counselor
- Madill, OK
National Provider Identifier
1871716209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2521
- Practice address
- 105 Plaza
Madill, OK 73446-2248 - Phone
- (580) 795-7439
- Fax
- (580) 795-7444
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2521 | OK | Primary |
| Professional Counselor | 101YP2500X | 14789 | TX |
Addresses
Primary practice location
105 Plaza
Madill, OK 73446-2248
Mailing address
1320 S Commerce St TRLR 88
Ardmore, OK 73401-5506
Phone (580) 371-8438
Other names 1
- Becky Robertson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2521 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871716209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S COMMERCE ST TRLR 88",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734015506",
"telephone_number": "580-371-8438",
"fax_number": "580-795-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PLAZA",
"city": "MADILL",
"state": "OK",
"postal_code": "734462248",
"telephone_number": "580-795-7439",
"fax_number": "580-795-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2521",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "ROBERTSON",
"credential": "MS LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Madill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.