MS. REBECCA ANN DRAKE (NPI# 1003081431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003081431 |
| Entity Type | Individual |
| Full Name | MS. REBECCA ANN DRAKE |
| Credential | LCSW |
| Practice Address |
200 Tarpon Trail Jacksonville NC 28546-5226 |
| Mailing Address |
105 Pelican Ct Surf City NC 28445-6952 |
| Practice Telephone | 9103284872 |
| Mailing Telephone | 9103284872 |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2008-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C004558 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 206391300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012094 | Rebecca Drake | Specialist/Technologist | 6410 W Saguaro Dr, Glendale, AZ 85304-4605 | 2014-04-03 |
| 1225265499 | Rebecca Louise Drake | Licensed Practical Nurse | 209 Laws St, Barnesville, OH 43713-1133 | 2009-06-16 |
| 1861534208 | Rebecca Ann Drake | Dietitian, Registered | 1 Foxcare Drive, Foxcare, Oneonta, NY 13820 | 2007-02-13 |
| 1346782661 | Rebecca Drake | Speech-Language Pathologist | 2121 Mesa Dr, Boulder, CO 80304-3621 | 2016-11-17 |
| 1912116831 | Rebecca L Drake | Physical Therapist | 1233 N 30th St, Billings, MT 59101-0127 | 2007-05-21 |
| Street Address |
200 TARPON TRAIL |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690515 | Ashraf Gb Mikhail | Psychiatry & Neurology | 200 Tarpon Trail, Jacksonville, NC 28546-5266 | 2005-12-16 |
| 1851820138 | Terra Griggs Garland | Social Worker | 200 Tarpon Trail, Jacksonville, NC 28546-5287 | 2017-06-08 |
| 1629223342 | Kristina A Hobby | Psychologist | 200 Tarpon Trail, Jacksonville, NC 28546-5266 | 2008-11-21 |
| 1184737462 | Coastal Carolina Neuropsychiatric Center, Pa | Counselor | 200 Tarpon Trail, Jacksonville, NC 28546-5266 | 2006-08-17 |
| 1275591703 | Marie Cervellero Belanger | Nurse Practitioner | 200 Tarpon Trail, Coastal Carolina Neuropsychiatric Center Pa, Jacksonville, NC 28546-5226 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on MS. REBECCA ANN DRAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.