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REBECCA NICELY MFT
NPI 1568829075
Counselor in Chardon, OH

Active since January 28, 2016PECOS Enrolled
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: November 01, 2026.

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

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.

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
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 Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Nicely Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ravenwood Mental Health Center
Same address
Mental Health (Including Community Mental Health Center)
12557 RAVENWOOD DR
Chardon, OH 44024
  • Reassigned Medicare billing, Ohio enrollment
  • 97 clinicians in this Medicare group
NPI 1053345975 (440) 285-3568

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.

KAILYN JOAN RATLIFF LPN
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
BILLIE SATAVA
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-2170
AUDREE ALICK LSW
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
CRISTINA GABRIELA COGNATI
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
WENDY MERLENE FRANCIS LPC
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
TRISHA LYNN SIMONYI
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
VANESSA PLAUTZ
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
JOSHUA MARK RUBIN
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568

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 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.

Where is Rebecca Nicely located?

Rebecca Nicely practices at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 283-5681.

What is Rebecca Nicely's specialty?

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

Is Rebecca Nicely enrolled in Medicare?

Yes. Rebecca Nicely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Nicely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Nicely reassigns Medicare benefits to Ravenwood Mental Health Center (Chardon, OH). 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 Nicely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Nicely accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and MedMutual list Rebecca Nicely 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 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.