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REBECCA JORDAN TATUM LPC, MS
NPI 1093304149
Counselor in Scottsdale, AZ

Active since January 13, 2021Opted out of Medicare · through Dec 17, 2026
14301 N 87TH ST STE 206, SCOTTSDALE, AZ 85260(480) 788-6568 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2022, Jan 19, 2021, Jan 13, 2021 (3 updates tracked since 2021).

About Rebecca Jordan Tatum Lpc, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA JORDAN TATUM LPC, MS (NPI 1093304149) is an individual counselor in Scottsdale, Arizona, licensed in Arizona (LPC-21526) and active in the NPI registry since January 2021. She has opted out of Medicare through December 17, 2026.

NPPES Registry Identity

NPI1093304149
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameREBECCA JORDAN TATUMCredential: LPC, MS
Location Address14301 N 87TH ST STE 206Scottsdale, AZ 85260-3689
Mailing Address17422 N 22nd StPhoenix, AZ 85022-2233 · (623) 237-2767
Phone(480) 788-6568
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
Last NPPES UpdateNovember 29, 20223 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1093304149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in AZ · LPC-21526✔ Licensed in AZ · 16875
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14301 N 87TH ST STE 206, Scottsdale, AZ 85260
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Other Names 1

Former Name (1)Rebecca Jordan Cheney Lac, Ms

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rebecca Jordan Tatum Lpc, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2024 through December 17, 2026.

Opt-Out Effective DateDecember 17, 2024
Opt-Out In Effect ThroughDecember 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDHYA T. MASIH D.O.
Psychiatry & Neurology (Psychiatry)
14301 N 87TH ST STE 206
SCOTTSDALE, AZ 85260
Maricopa County (480) 253-9721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Tatum's NPI number?

The NPI number for Rebecca Tatum is 1093304149. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Rebecca Jordan Cheney Lac, Ms.

Where is Rebecca Tatum located?

Rebecca Tatum practices at 14301 N 87th St Ste 206, Scottsdale, AZ 85260. The listed phone number is (480) 788-6568.

What is Rebecca Tatum's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Rebecca Tatum enrolled in Medicare?

No. Rebecca Tatum has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Tatum was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.