Rebecca S Emmenecker, MA, BSW, LLPC, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401008317 Issued in MI

Practice address

2084 Hemmeter Rd
Saginaw, MI 48603-3943

Phone

(989) 401-7506

Fax

(989) 401-7509

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Holy Cross Youth and Family Services Inc

  • Substance Abuse Rehabilitation Facility
  • Saginaw, MI
  • NPI 1093152092
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1962842765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HANDY DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063512",
            "telephone_number": "989-316-1237",
            "fax_number": "989-401-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033943",
            "telephone_number": "989-401-7506",
            "fax_number": "989-401-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMENECKER",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "MA, BSW, LLPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401008317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.