Individual provider Active NPI

Rebecca Kay Kreutner, LPC/S, LPC

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1992335301
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4778 Issued in SC
Practice address
3 Broad St Ste 205
Charleston, SC 29401-3054
Phone
(843) 327-9820
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4778 SC Primary

Addresses

Primary practice location

3 Broad St Ste 205
Charleston, SC 29401-3054

Mailing address

751 Longbranch Dr
Charleston, SC 29414-5468
Phone (843) 327-9820

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

LicenseStateTypeSpecialty
4778SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Integrated Counseling, LLC CurrentSince Apr 10, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1992335301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LONGBRANCH DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145468",
            "telephone_number": "843-327-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BROAD ST STE 205",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013054",
            "telephone_number": "843-327-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTNER",
        "first_name": "REBECCA",
        "middle_name": "KAY",
        "credential": "LPC/S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.