Provider Demographics
NPI:1427551977
Name:BAUERKEMPER, REBECCA (MA, LPC, LMFT, NCC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:BAUERKEMPER
Suffix:
Gender:F
Credentials:MA, LPC, LMFT, NCC
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:
Other - Last Name:BAUERKEMPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC, LMFT, NCC
Mailing Address - Street 1:19001 PRIDDY CT
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19001 PRIDDY CT
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4139
Practice Address - Country:US
Practice Address - Phone:512-567-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202693106H00000X
TX74963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist