NPIMap

Organization Active NPI

Rebecca Beutler LLC

  • Counseling Psychologist
  • Puyallup, WA
National Provider Identifier
1083057475
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY60318110 Issued in WA
Legal business name
REBECCA BEUTLER LLC
Practice address
15406 Meridian E
Suite 205
Puyallup, WA 98375-9504
Phone
(253) 278-9292
Fax
(253) 604-6237
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Rebecca Lynn Beutler, ED.D., LMHCNPI 1619020047
Title
Counseling Psychologist
Phone
(253) 278-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH60083795 WA
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PY60318110 WA Primary

Addresses

Primary practice location

15406 Meridian E
Suite 205
Puyallup, WA 98375-9504

Mailing address

PO Box 1331
Puyallup, WA 98371-0243
Phone (253) 278-9292

National Provider Directory

National Provider Directory

Locations

15406 Meridian E
Ste 205
Puyallup, WA 98375
Phone (253) 278-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1083057475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983710243",
            "telephone_number": "253-278-9292",
            "fax_number": "253-604-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E",
            "address_2": "SUITE 205",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-278-9292",
            "fax_number": "253-604-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BEUTLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BEUTLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COUNSELING PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-278-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60083795",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60318110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.