REBECCA KING LSW
NPI 1215550538
Counselor - Mental Health in East Petersburg, PA

Active since May 20, 2020Opted out of Medicare · through Apr 4, 2027
1987 STATE ST, EAST PETERSBURG, PA 17520(717) 723-8040 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca King Lsw NPPES

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

REBECCA KING LSW (NPI 1215550538) is an individual mental health provider in East Petersburg, Pennsylvania, licensed in Pennsylvania (130105) and active in the NPI registry since May 2020. She has opted out of Medicare through April 4, 2027.

NPPES Registry Identity

NPI1215550538
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA KINGCredential: LSW
Location Address1987 STATE STEast Petersburg, PA 17520-1324
Mailing Address1987 State StEast Petersburg, PA 17520-1324 · (717) 723-8040
Sole ProprietorNo
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
NPI 1215550538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in PA · 130105
1987 STATE ST, East Petersburg, PA 17520

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 King Lsw 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 April 4, 2025 through April 4, 2027.

Opt-Out Effective DateApril 4, 2025
Opt-Out In Effect ThroughApril 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Mental Health)
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Professional)
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Professional)
1987 STATE ST
EAST PETERSBURG, PA 17520
Clinic/Center (Mental Health (Including Community Mental Health Center))
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Mental Health)
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Professional)
1987 STATE ST
EAST PETERSBURG, PA 17520
Counselor (Mental Health)
1987 STATE ST
EAST PETERSBURG, PA 17520

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 King's NPI number?

The NPI number for Rebecca King is 1215550538. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Rebecca King located?

Rebecca King practices at 1987 State St, East Petersburg, PA 17520. The listed phone number is (717) 723-8040.

What is Rebecca King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rebecca King enrolled in Medicare?

No. Rebecca King has opted out of Medicare through April 4, 2027. 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 King was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.