NPIMap

Organization Active NPI

Beloit Psychotherapy

  • Mental Health Counselor
  • Beloit, WI
National Provider Identifier
1073944302
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1091-226 Issued in WI
Legal business name
BELOIT PSYCHOTHERAPY
Practice address
3005 Riverside Dr
Suite 102
Beloit, WI 53511-1500
Phone
(608) 346-8315
NPI assigned
Dec 12, 2013
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Kari Bell Ellen Bell, LPC, CSAC
Title
Owner/ Professional Counselor
Phone
(608) 290-2286

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15601-132 WI
Mental Health Counselor 101YM0800X 1091-226 WI Primary

Addresses

Primary practice location

3005 Riverside Dr
Suite 102
Beloit, WI 53511-1500

Mailing address

3005 Riverside Drive
Suite 102
Beloit, WI 53511
Phone (608) 346-8315

National Provider Directory

National Provider Directory

Locations

3005 S Riverside Dr
Ste 102
Beloit, WI 53511
Phone (608) 299-7669

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1073944302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 RIVERSIDE DRIVE",
            "address_2": "SUITE 102",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-346-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 RIVERSIDE DR",
            "address_2": "SUITE 102",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111500",
            "telephone_number": "608-346-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOIT PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KARI BELL",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/ PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "608-290-2286",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15601-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1091-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.