Active NPI
Rebecca A Humphrey, LMHC
- Mental Health Counselor
- Lafayette, IN
National Provider Identifier
1922373828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001282A
- Practice address
- 1530 S 18TH St
Lafayette, IN 47905-2010 - Phone
- (765) 474-4616
- NPI assigned
- Mar 12, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001282A | IN | Primary |
Addresses
Primary practice location
1530 S 18TH St
Lafayette, IN 47905-2010
Mailing address
1530 S 18TH St
Lafayette, IN 47905-2010
Phone (765) 474-4616
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39001282A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1922373828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S 18TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052010",
"telephone_number": "765-474-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S 18TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479052010",
"telephone_number": "765-474-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001282A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.