Provider Demographics
NPI:1700947215
Name:LEE, REBECCA ANN (MED, LMHC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:LEE
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CRAIG DR
Mailing Address - Street 2:APT 6N
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4731
Mailing Address - Country:US
Mailing Address - Phone:413-896-8936
Mailing Address - Fax:413-789-7444
Practice Address - Street 1:35 CRAIG DR
Practice Address - Street 2:APT 6N
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4731
Practice Address - Country:US
Practice Address - Phone:413-896-8936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101Y00000X, 101YA0400X, 101YP2500X, 106H00000X, 101YM0800X
MA6322101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1700947215OtherBMC HEALTHNET
MA1922070341OtherORGANIZATION NPI NUMBER
MA49963OtherHEALTH NEW ENGLAND
MA1897160OtherCIGNA