MS. REBECCA LYNN SIDWELL-DOUGLAS
NPI 1386844546
Counselor in Chesterfield, MO

Active since July 24, 2007PECOS Enrolled
14377 WOODLAKE DR, SUITE 308, CHESTERFIELD, MO 63017(314) 576-6493(314) 576-7319 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Rebecca Lynn Sidwell-douglas NPPES

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

MS. REBECCA LYNN SIDWELL-DOUGLAS (NPI 1386844546) is an individual counselor in Chesterfield, Missouri, licensed in Missouri (2005028054) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386844546
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. REBECCA LYNN SIDWELL-DOUGLAS
Location Address14377 WOODLAKE DR, SUITE 308Chesterfield, MO 63017-5735
Mailing Address14377 Woodlake Dr, Suite 308Chesterfield, MO 63017-5735 · (314) 576-6493 · Fax (314) 576-7319
Fax(314) 576-7319
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 24, 2007
Last NPPES UpdateAugust 22, 2007
✔ NPI 1386844546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MO · 2005028054
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.
14377 WOODLAKE DR, Chesterfield, MO 63017

Other Names 1

Former Name (1)Ms. Rebecca Lynn Sidwell Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rebecca Lynn Sidwell-douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446723472
PECOS Enrollment IDI20260622003239
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.

Medicare Billing Reassignment

Medicare enrollment records show Rebecca Sidwell-douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Dentist
14377 WOODLAKE DR, 210
CHESTERFIELD, MO 63017
Social Worker
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Dentist (Pediatric Dentistry)
14377 WOODLAKE DR, SUITE 102
CHESTERFIELD, MO 63017
Counselor
14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017
Psychologist
14377 WOODLAKE DR, #308
CHESTERFIELD, MO 63017
Dentist (Periodontics)
14377 WOODLAKE DR, STE 214
CHESTERFIELD, MO 63017
Dermatology
14377 WOODLAKE DR, SUITE 111
TOWN AND COUNTRY, MO 63017

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 Sidwell-douglas's NPI number?

The NPI number for Rebecca Sidwell-douglas is 1386844546. It was assigned to this individual provider in the NPPES registry on July 24, 2007. The provider is also known as Ms. Rebecca Lynn Sidwell Lpc.

Where is Rebecca Sidwell-douglas located?

Rebecca Sidwell-douglas practices at 14377 Woodlake Dr Suite 308, Chesterfield, MO 63017. The listed phone number is (314) 576-6493.

What is Rebecca Sidwell-douglas's specialty?

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

Is Rebecca Sidwell-douglas enrolled in Medicare?

Yes. Rebecca Sidwell-douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Sidwell-douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Sidwell-douglas reassigns Medicare benefits to Ssm Medical Group, Inc. (Fenton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Sidwell-douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Sidwell-douglas accept?

Health plans from Anthem Blue Cross and Blue Shield list Rebecca Sidwell-douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Sidwell-douglas was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.