Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Michelle Fannin, CT, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1578090759

Rebecca Michelle Fannin, CT, LCDCIII is a Mental Health Counselor in Jackson, Ohio. Qualified in 2021, 5 years ago. Practices with Integrated Services for Behavioral Health, a 39-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

120 Twin Oaks Dr
Jackson, OH 45640-9506
Phone: (740) 570-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1578090759
Entity typeIndividual (Type 1)
GenderFemale
Credentials CT , LCDCIII
Sole proprietorYes
NPI enumeratedMay 18, 2017
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Integrated Services For Behavioral Health — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jackson