Rebecca K Barnes, LCPC
Individual provider Active NPI Professional Counselor · Moscow, ID
NPI 1902818503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902818503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC 2875 (ID)
- Practice address
- 870 Ventura St
Moscow, ID 83843-9585 - Phone
- (208) 596-8186
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 2875 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 2875 | ID | Yes |
Addresses
Primary practice location
870 Ventura St
Moscow, ID 83843-9585
Mailing address
870 Ventura St
Moscow, ID 83843-9585
Phone (208) 596-8186
Other providers in Moscow, ID
- Richard E. Bailey
- Laurel Bake
- Jayme G Baker
- Michelle Elizabeth Baker
- Ronald Francis Baldwin
- Isis Barragan Gomez
- Brenda Laine Bartholow
- Gregory Bauer
- Meggan L Baumgartner
- Abigail Bayly
All providers in Moscow, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.