Active NPI
Rebecca Ann Frock, M.A., L.P.C.C.
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1922061795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CCMH1314
- Practice address
- 8616 New Hampton NE
Albuquerque, NM 87111-1891 - Phone
- (505) 507-9087
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CCMH1314 | NM | Primary |
| Professional Counselor | 101YP2500X | 1314 | NM |
Addresses
Primary practice location
8616 New Hampton NE
Albuquerque, NM 87111-1891
Mailing address
8616 New Hampton Rd NE
Albuquerque, NM 87111-1891
Phone (505) 507-9087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82179816 | Medicaid | NM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH1314 | NM | MD | Mental Health Counselor |
| 1314 | NM | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- Albuquerque, NM
- NPI 1053860585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1922061795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 NEW HAMPTON RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111891",
"telephone_number": "505-507-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 NEW HAMPTON NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111891",
"telephone_number": "505-507-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A., L.P.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CCMH1314",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "1314",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82179816",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.