Rebecca Lynn Coursey

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003647 Issued in GA

Practice address

1763 Fernside Dr.
Avita Community Partners
Toccoa, GA 30577

Phone

(706) 282-4542

NPI assigned

Jul 11, 2014

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/avitapartners/r4/

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.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  Medicare reassignment Care Compare group NPD
• Avita Community Partners

  • Mental Illness Community Based Residential Treatment Facility
  • Toccoa, GA
  • NPI 1205158813
  NPD (past)
• Georgia Mountains Community Services

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1063522035
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1902212814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILL TOP DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496706",
            "telephone_number": "706-367-0791",
            "fax_number": "706-886-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 FERNSIDE DR.",
            "address_2": "AVITA COMMUNITY PARTNERS",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "30577",
            "telephone_number": "706-282-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEY",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Convalescent Home Equipment, Inc.
• Charles Ryan Cosby, DO
• Cossar Chiropractic
• Todd Maclin Cossar, D.C.
• Crystal Kersey Cotrell, PA-C
• Traci Coyne, FNP-C
• Cady Croscutt, RD
• Johnna Celeste Crumley, CPS-AD
• Currahee Anesthesia Associates
• Currahee Anesthesia Associates

• Professional Counselor in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.