Jessica Bibeau

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303784 Issued in MN

Practice address

287 6TH St E
Saint Paul, MN 55101-1654

Phone

(651) 221-0334

NPI assigned

Dec 12, 2016

Last updated

Dec 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conceptual Counseling, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
  • NPI 1801003090
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1063956985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011654",
            "telephone_number": "651-221-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011654",
            "telephone_number": "651-221-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBEAU",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303784",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beyond the Spectrum LLC
• Saraswathi Bhadrareddy, ARNP
• Kartika Bhardwaj, M.D.
• Jinai Bharucha, MD
• Monica Mary Bianchi, LSW
• Angela M Biebel, CRNA
• Victor R Bieganek, DDS
• Katrina Michelle Harmony Bielefeld
• Nathan Bienias
• Ryan Tyler Biernath, DPT

• Addiction (Substance Use Disorder) Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.