Individual provider Active NPI

Rebecca Lynn McCracken, LPCC

  • Professional Counselor
  • Elizabethtown, KY
National Provider Identifier
1881358513
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
273625 Issued in KY
Practice address
201 Peterson Dr
Elizabethtown, KY 42701-9370
Phone
(800) 545-9031
Fax
(859) 757-4501
NPI assigned
Oct 28, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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 273625 KY Primary

Addresses

Primary practice location

201 Peterson Dr
Elizabethtown, KY 42701-9370

Mailing address

PO Box 6209
Elizabethtown, KY 42702-6209
Phone (800) 545-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241004001334 KY Practitioner - Mental Health Counselor 0547791295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273625KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stepworks Recovery Centers LLC CurrentSince Jun 22, 2024 Accepting new patients
Stepworks Recovery Centers LLC CurrentSince Jun 22, 2024 Accepting new patients

Locations

201 Peterson Dr
Elizabethtown, KY 42701
Phone (270) 765-5900

2901 Ring Rd
Elizabethtown, KY 42701

3825 Marydell Rd
London, KY 40741

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1881358513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6209",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026209",
            "telephone_number": "800-545-9031",
            "fax_number": "859-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PETERSON DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019370",
            "telephone_number": "800-545-9031",
            "fax_number": "859-757-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "273625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.