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REBECCA CECILE ETHERIDGE LCMHC
NPI 1710535984
Counselor in Charlotte, NC

Active since August 29, 2019PECOS Enrolled
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Apr 22, 2021, Aug 29, 2019 (3 updates tracked since 2019).

About Rebecca Cecile Etheridge Lcmhc NPPES

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

REBECCA CECILE ETHERIDGE LCMHC (NPI 1710535984) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (15112) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710535984
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameREBECCA CECILE ETHERIDGECredential: LCMHC
Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 444-2400
Sole ProprietorNo
Enumeration DateAugust 29, 2019
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1710535984 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 NC · 15112
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 15112 (NC)
501 BILLINGSLEY RD, Charlotte, NC 28211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Cecile Etheridge Lcmhc 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 Etheridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Medical Center
Same address
Psychiatric Unit
501 BILLINGSLEY RD
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1053358945 (704) 358-2700

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.

STEPHANIE FRANCIS NEWBY MD
Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
BORIS MAXIMOVICH KISELEV MD
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
NEISHA DAWSON JENKINS LCMHC
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
MRS. ROSE K CHIN RPH
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862
HRISTOS CHRISTOPHER KARANIKAS MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DR. TERESA KATHRYN HOSKINS DO, MPH, CPH
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
TIMOTHY COOPER KING MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DAVID FRANKLIN TAYLOR PHARMD
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862

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 Etheridge's NPI number?

The NPI number for Rebecca Etheridge is 1710535984. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Rebecca Etheridge located?

Rebecca Etheridge practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Rebecca Etheridge's specialty?

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

Is Rebecca Etheridge enrolled in Medicare?

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

Which organization bills Medicare for Rebecca Etheridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Etheridge reassigns Medicare benefits to Carolinas Medical Center (Charlotte, NC). 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 Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Etheridge accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Rebecca Etheridge 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 Etheridge was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.