REBECCA MORRISON OTALLAH LPC
NPI 1689094187
Counselor - Professional in Winston Salem, NC

Q: What is Rebecca Otallah's NPI number?

The NPI number for Rebecca Otallah is 1689094187. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Q: What is Rebecca Otallah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Otallah was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 23, 2014

648 E MONMOUTH ST, WINSTON SALEM, NC 27107(336) 718-4360(336) 718-4369 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Oct 26, 2020 (2 updates tracked since 2020).

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About Rebecca Morrison Otallah Lpc NPPES

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

REBECCA MORRISON OTALLAH LPC (NPI 1689094187) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (13666) and active in the NPI registry since April 2014. She maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1689094187

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameREBECCA MORRISON OTALLAHCredential: LPC

Location Address648 E MONMOUTH STWinston Salem, NC 27107-3227

Mailing AddressPo Box 751803Charlotte, NC 28275-1803

Phone(336) 718-4360

Fax(336) 718-4369

Sole ProprietorNo

Enumeration DateApril 23, 2014

Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration

NPPES CertifiedMarch 4, 2021

✔ NPI 1689094187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · 13666✔ Licensed in VA · 0701005782

648 E MONMOUTH ST, Winston Salem, NC 27107

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Secondary Practice Location 1

Location 11285 Swan Lake Dr Apt 404Charlottesville, VA 22902-8217 · Phone (540) 908-8467

Other Providers at the Same Location NPPES 3

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

NOVANT HEALTH MEDICAL GROUP, LLC

Pediatrics

648 E MONMOUTH ST
WINSTON SALEM, NC 27107

Forsyth County (336) 718-4360

SARAH SCHALLER MSW

Social Worker (Clinical)

648 E MONMOUTH ST
WINSTON SALEM, NC 27107

Forsyth County (336) 718-4360

MISS MARY BETH YOUNG LCSW

Social Worker (Clinical)

648 E MONMOUTH ST
WINSTON SALEM, NC 27107

Forsyth County (336) 718-4360

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 Otallah's NPI number?

The NPI number for Rebecca Otallah is 1689094187. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Rebecca Otallah located?

Rebecca Otallah practices at 648 E Monmouth St, Winston Salem, NC 27107. The listed phone number is (336) 718-4360.

What is Rebecca Otallah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Rebecca Otallah was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.