REBEKAH SUE WEIDENAAR PLPC
NPI 1912505082
Counselor - Professional in Moberly, MO

Active since October 12, 2020Opted out of Medicare · through Dec 23, 2027
503 W REED ST, MOBERLY, MO 65270(573) 575-8191 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebekah Sue Weidenaar Plpc NPPES

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

REBEKAH SUE WEIDENAAR PLPC (NPI 1912505082) is an individual professional provider in Moberly, Missouri, licensed in Missouri (2020033347) and active in the NPI registry since October 2020. She has opted out of Medicare through December 23, 2027.

NPPES Registry Identity

NPI1912505082
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBEKAH SUE WEIDENAARCredential: PLPC
Location Address503 W REED STMoberly, MO 65270-1509
Mailing Address1302 County Road 2455Huntsville, MO 65259-2900 · (660) 414-7303
Sole ProprietorNo
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
NPI 1912505082 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 MO · 2020033347
503 W REED ST, Moberly, MO 65270

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Rebekah Sue Weidenaar Plpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 23, 2025 through December 23, 2027.

Opt-Out Effective DateDecember 23, 2025
Opt-Out In Effect ThroughDecember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Rebekah Weidenaar's NPI number?

The NPI number for Rebekah Weidenaar is 1912505082. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Rebekah Weidenaar located?

Rebekah Weidenaar practices at 503 W Reed St, Moberly, MO 65270. The listed phone number is (573) 575-8191.

What is Rebekah Weidenaar's specialty?

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

Is Rebekah Weidenaar enrolled in Medicare?

No. Rebekah Weidenaar has opted out of Medicare through December 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebekah Weidenaar was last updated on October 12, 2020. 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.