Rebecca Rose Clouse, BHRS, B.A.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

17 S Central Ave
Idabel, OK 74745-4625

Phone

(580) 236-2232

NPI assigned

Apr 20, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2011.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1902197304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454625",
            "telephone_number": "580-236-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747454625",
            "telephone_number": "580-236-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "credential": "BHRS, B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Edward Clark, B.S.W.
• Tina Marie Clark, FSP
• Kasey E Clements
• Cailey Clouse
• Kristen Michelle Clouse, APRN CNP
• Sara Ann Collier, MD
• Aelena Collinson
• Complete Care Medical, Inc.
• E Jeannette Conway, LPC
• Christopher Cooks

• All providers in Idabel, OK
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.