MEDICARE: REBECCA IHLE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2025050663	MO

General Provider Information

NPI Number	:	1497527535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA IHLE LPC

Provider Business Mailing Address
First Line	:	12852 SHADOW LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12852 SHADOW LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63127-1523
Country	:	US
Telephone Number	:	707-548-6753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	04/10/2026

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Directions to “ REBECCA IHLE LPC” Practice Location

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