MRS. REBECCA ANNE LONGSTREET LPC, NCC
NPI 1225465990
Counselor in Shelby Township, MI

Q: What is Rebecca Longstreet's NPI number?

The NPI number for Rebecca Longstreet is 1225465990. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Q: What is Rebecca Longstreet's specialty?

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

Q: Is Rebecca Longstreet enrolled in Medicare?

No. Rebecca Longstreet has opted out of Medicare through October 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 26, 2013Opted out of Medicare · through Oct 3, 2026

13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315(248) 762-4011 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2021, Aug 21, 2018 (2 updates tracked since 2018).

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About Mrs. Rebecca Anne Longstreet Lpc, Ncc NPPES

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

MRS. REBECCA ANNE LONGSTREET LPC, NCC (NPI 1225465990) is an individual counselor in Shelby Township, Michigan, licensed in Michigan (6401013232) and active in the NPI registry since September 2013. She has opted out of Medicare through October 3, 2026 and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1225465990

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. REBECCA ANNE LONGSTREETCredential: LPC, NCC

Location Address13001 23 MILE RD STE 103Shelby Township, MI 48315

Mailing Address13425 Bernadette CtSterling Heights, MI 48313-3403 · (248) 762-4011

Phone(248) 762-4011

Sole ProprietorYes

Enumeration DateSeptember 26, 2013

Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1225465990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401013232

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 · Mental HealthTaxonomy 101YM0800X · License 6401013232 (MI)

13001 23 MILE RD STE 103, Shelby Township, MI 48315

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Secondary Practice Location 1

Location 144777 Hayes RdSterling Heights, MI 48313-1421 · Phone (248) 274-6442

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Rebecca Anne Longstreet Lpc, Ncc 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 October 3, 2024 through October 3, 2026.

Opt-Out Effective DateOctober 3, 2024

Opt-Out In Effect ThroughOctober 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 18

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

ALLISON SHAUNE

Counselor