REBECCA HOLBROOK
NPI 1205373404
Counselor in Grand Rapids, MI

Q: What is Rebecca Holbrook's NPI number?

The NPI number for Rebecca Holbrook is 1205373404. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Q: What is Rebecca Holbrook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rebecca Holbrook was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2017PECOS EnrolledAccepts Medicare Assignment

2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512(616) 949-9550 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, Jan 25, 2017 (2 updates tracked since 2017).

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About Rebecca Holbrook NPPES

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

REBECCA HOLBROOK (NPI 1205373404) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401224258) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205373404

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameREBECCA HOLBROOK

Location Address2828 KRAFT AVE SE STE 186Grand Rapids, MI 49512-2076

Mailing Address2828 Kraft Ave Se Ste 186Grand Rapids, MI 49512-2076

Phone(616) 949-9550

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 25, 2017

Last NPPES UpdateMay 21, 20242 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1205373404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401224258

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6451019474 (MI)

2828 KRAFT AVE SE STE 186, Grand Rapids, MI 49512

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Holbrook is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931641198

PECOS Enrollment IDI20240604001715

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

RACHAEL MOUW LLMSW

Social Worker (Clinical)