Individual provider Active NPI

Rachel Lebetkin, LPC

  • Professional Counselor
  • Bethel, CT
National Provider Identifier
1902438666
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4202 Issued in CT
Practice address
47 Bethpage Dr
Bethel, CT 06801-2303
Phone
(203) 648-3707
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4202 CT Primary

Addresses

Primary practice location

47 Bethpage Dr
Bethel, CT 06801-2303

Mailing address

125 Main St N
Woodbury, CT 06798-2940
Phone (203) 648-3707

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240301000157 CT Practitioner - Mental Health Counselor 2062884984 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
Interface Counseling PLLCGroup PAC ID 9537531454, 6 clinicians

Practice addresses (Care Compare)

46 Danbury Rd
Suite 6
New Milford, CT 06776-3403
Phone (860) 354-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Counseling, PLLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Interface Center Inc Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

46 Danbury Rd
Ste 6
New Milford, CT 06776
Phone (860) 354-1596

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1902438666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST N",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982940",
            "telephone_number": "203-648-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BETHPAGE DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012303",
            "telephone_number": "203-648-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBETKIN",
        "first_name": "RACHEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 Bethpage Dr",
            "city": "Bethel",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068012303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.