Rebecca Marie Christian, MA, LPC-S, LCDC

Key facts

NPI

1992938401

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

17588 (TX)

Practice address

4230 E 53Rd St
#1125
Odessa, TX 79762-4850

Phone

(254) 537-2838

NPI assigned

Aug 31, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Arts

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2009.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1992938401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 E 53RD ST",
            "address_2": "#1125",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624850",
            "telephone_number": "254-537-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 E 53RD ST",
            "address_2": "#1125",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624850",
            "telephone_number": "254-537-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "MA, LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

• Dennis Jung Hwan Choi, M.D.
• Kyungho Scott Choi, MD
• Nahyung Choi
• George Choumarov Sr., M.D.
• Rachel Christian, M.S., OTR/L
• Tracy Onyinye Chukwu, M.D
• Obinna Victor Chukwuma, MBBS
• Cheolwon Chung, DMD
• Cibolo Park Healthcare LLC
• City of Odessa

All providers in Odessa, TX · Professional Counselor in Texas