Healthcare Provider Details

I. General information

NPI: 1932096286
Provider Name (Legal Business Name): REBARCAK COUNSELING AND COACHING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 25TH ST
DES MOINES IA
50312-4814
US

IV. Provider business mailing address

1317 LINDEN RD
HARLAN IA
51537-4210
US

V. Phone/Fax

Practice location:
  • Phone: 515-460-2468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASEY REBARCAK
Title or Position: OWNER
Credential:
Phone: 515-460-2468