Rebekah Marvel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8051125 Issued in WI

Practice address

8320 W Bluemound Rd Ste 211
Wauwatosa, WI 53213-3367

Phone

(414) 376-8751

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1952800823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 W BLUEMOUND RD STE 211",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133367",
            "telephone_number": "414-376-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W BLUEMOUND RD STE 211",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133367",
            "telephone_number": "414-376-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "REBEKAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8051125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Men'S Medical Clinic of Wisconsin
• Bethany Liann Martin
• Jennifer Catherine Martin, MT-BC
• John Martin, M.D.
• Lindsay Maruszewski
• Stefanie Marvin
• Mary Rader Clinical Dietitian LLC
• Rachel Mason, APSW, CSAC
• Leora Massey, MD
• Madeline Masterson, MD

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.