Individual provider Active NPI

Rebecca Elizabeth Stoudt, MS, NCC, LPC

  • Mental Health Counselor
  • Harrisburg, PA
National Provider Identifier
1881377349
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016033 Issued in PA
Practice address
4309 Linglestown Rd Ste 214
Harrisburg, PA 17112-8607
Phone
(717) 412-4908
Fax
(717) 695-0853
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC016033 PA Primary

Addresses

Primary practice location

4309 Linglestown Rd Ste 214
Harrisburg, PA 17112-8607

Mailing address

4309 Linglestown Rd Ste 214
Harrisburg, PA 17112-8607
Phone (717) 412-4908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231229000249 PA Practitioner - Mental Health Counselor 0749630069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

4309 Linglestown Rd
Suite 214
Harrisburg, PA 17112-8607
Phone (717) 412-4908

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4309 Linglestown Rd
Ste 214
Harrisburg, PA 17112
Phone (717) 412-4908

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

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, 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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1881377349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 LINGLESTOWN RD STE 214",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128607",
            "telephone_number": "717-412-4908",
            "fax_number": "717-695-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 LINGLESTOWN RD STE 214",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128607",
            "telephone_number": "717-412-4908",
            "fax_number": "717-695-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDT",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.