REBECCA NICELY MFT
NPI 1568829075
Counselor in Chardon, OH

Q: What is Rebecca Nicely's NPI number?

The NPI number for Rebecca Nicely is 1568829075. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Q: What is Rebecca Nicely'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 Nicely was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 28, 2016PECOS EnrolledAccepts Medicare Assignment

12557 RAVENWOOD DR, CHARDON, OH 44024(440) 283-5681 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 19, 2018, Jan 28, 2016 (2 updates tracked since 2016).

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About Rebecca Nicely Mft NPPES

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

REBECCA NICELY MFT (NPI 1568829075) is an individual counselor in Chardon, Ohio, licensed in Ohio (E1800547) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568829075

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameREBECCA NICELYCredential: MFT

Location Address12557 RAVENWOOD DRChardon, OH 44024

Mailing Address4000 Cinwood St NwMassillon, OH 44646-5113 · (330) 949-9859

Phone(440) 283-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 28, 2016

Last NPPES UpdateJune 19, 20182 updates tracked since enumeration

✔ NPI 1568829075 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 OH · E1800547

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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1600006 (OH)

12557 RAVENWOOD DR, Chardon, OH 44024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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 Nicely Mft 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 ID6103267950

PECOS Enrollment IDI20240511000236

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 20

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

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