REBECCA RAE DE ROSA LPC
NPI 1871058644
Counselor - Professional in Northbrook, IL

Q: What is Rebecca De Rosa's NPI number?

The NPI number for Rebecca De Rosa is 1871058644. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Q: What is Rebecca De Rosa'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 De Rosa was last updated on February 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2019PECOS Enrolled

3504 COMMERCIAL AVE, NORTHBROOK, IL 60062(847) 272-5111 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Rebecca Rae De Rosa Lpc NPPES

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

REBECCA RAE DE ROSA LPC (NPI 1871058644) is an individual professional provider in Northbrook, Illinois, licensed in Illinois (178012923) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Northbrook, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1871058644

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameREBECCA RAE DE ROSACredential: LPC

Location Address3504 COMMERCIAL AVENorthbrook, IL 60062-1821

Mailing Address3504 Commercial AveNorthbrook, IL 60062-1821 · (847) 272-5111

Phone(847) 272-5111

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 6, 2019

✔ NPI 1871058644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178012923

3504 COMMERCIAL AVE, Northbrook, IL 60062

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Secondary Practice Location 1

Location 13504 Commercial AveNorthbrook, IL 60062-1821 · Phone (847) 272-5111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Rae De Rosa Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537668900

PECOS Enrollment IDI20250814002270

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 17

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

KIMBERLY J. BERENBERG M.A., LCPC

Counselor (Mental Health)