Individual provider Active NPI

Anne Rappaport, L.C.P.C., C.R.C.

  • Professional Counselor
  • Maryville, IL
National Provider Identifier
1912274374
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004662 Issued in IL
Practice address
6201 W Main St
Suite 110
Maryville, IL 62062-6870
Phone
(314) 683-0785
Fax
(618) 348-6235
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180004662 IL Primary
Rehabilitation Counselor 225C00000X 00038190 IL

Addresses

Primary practice location

6201 W Main St
Suite 110
Maryville, IL 62062-6870

Mailing address

4718 N Alby Rd
Godfrey, IL 62035-1958
Phone (618) 433-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180004662ILMDProfessional Counselor
00038190ILMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1912274374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 N ALBY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351958",
            "telephone_number": "618-433-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W MAIN ST",
            "address_2": "SUITE 110",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626870",
            "telephone_number": "314-683-0785",
            "fax_number": "618-348-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C., C.R.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004662",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "IL",
            "license": "00038190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.