Active NPI
Nathan Bevens
- Mental Health Counselor
- Laytonville, CA
National Provider Identifier
1003356791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75856
- Practice address
- 50 Branscomb Rd
Laytonville, CA 95454 - Phone
- (707) 984-6131
- NPI assigned
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 75856 | CA | |
| Clinical Social Worker | 1041C0700X | 75856 | CA | |
| Mental Health Counselor | 101YM0800X | 75856 | CA | Primary |
Addresses
Primary practice location
50 Branscomb Rd
Laytonville, CA 95454
Mailing address
4585 SW 185TH Ave
Aloha, OR 97078-1557
Other practice location 1
99 S Humboldt St
Willits, CA 95490-3509
Phone (707) 459-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75856 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc. | Mental Health | Past | Accepting new patients |
| Redwood Community Services, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lakeport, CA
- NPI 1891859047
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1003356791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4585 SW 185TH AVE",
"city": "ALOHA",
"state": "OR",
"postal_code": "970781557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BRANSCOMB RD",
"city": "LAYTONVILLE",
"state": "CA",
"postal_code": "95454",
"telephone_number": "707-984-6131"
}
],
"practiceLocations": [
{
"address_1": "99 S Humboldt St",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954903509",
"country_code": "US",
"telephone_number": "707-459-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEVENS",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-01",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "75856",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "75856",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "75856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laytonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.