Active NPI
Rebecca Stevens, MA, LPC
- Professional Counselor
- Menasha, WI
National Provider Identifier
1912422155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6946-125
- Practice address
- 1810 Appleton Rd
Menasha, WI 54952 - Phone
- (920) 739-4226
- Fax
- (920) 432-5966
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6946-125 | WI | Primary |
Addresses
Primary practice location
1810 Appleton Rd
Menasha, WI 54952
Mailing address
PO Box 22308
Green Bay, WI 54305-2308
Phone (920) 436-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912422155 | Medicaid | WI | |
| 6946-125 | Other | WI | STATE OF WISCONSIN |
Other names 1
- Rebecca Snell
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)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Northeast Wisconsin Inc | Past | Accepting new patients | |
| Family Services of Northeast Wisconsin Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Menasha, WI
- NPI 1275525925
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1467453167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1912422155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22308",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052308",
"telephone_number": "920-436-6800",
"fax_number": "920-432-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 APPLETON RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "54952",
"telephone_number": "920-739-4226",
"fax_number": "920-432-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "REBECCA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6946-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912422155",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN",
"identifier": "6946-125",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SNELL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.