MEDICARE: REBECCA BELLEMAN MA, LPCC

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	LPCC.0020120	CO
2	101YM0800X	Mental Health Counselor	LPCC.0020120	CO

General Provider Information

NPI Number	:	1932816667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA BELLEMAN MA, LPCC

Provider Business Mailing Address
First Line	:	4775 BARNES RD STE L
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-1650
Country	:	US
Telephone Number	:	719-644-6131
Fax Number	:

Provider Business Practice Location Address
First Line	:	5475 MARK DABLING BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3832
Country	:	US
Telephone Number	:	719-257-7199
Fax Number	:

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

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/16/2023

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