Bettin Counseling
Organization Active NPI Clinical Social Worker · St Joseph, MN
NPI 1083130488 · NPPES record last updated Aug 17, 2017
Key facts
- NPI
- 1083130488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BETTIN COUNSELING
- Practice address
- 1151 Minnesota St E. #6
St Joseph, MN 56374 - Phone
- (320) 200-7252
- NPI assigned
- Aug 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Michelle Bettin, LICSW
- Title
- Psychotherapist
- Phone
- (320) 200-7252
Practitioners 1
-
Michelle Lynn Bettin, MSW LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170831003345 | MN | Part B Supplier - Clinic/Group Practice | 0547533200 |
Receives reassigned benefits from 1 practitioner Practice locations: Waite Park, MN |
National Provider Directory
Locations
110 2nd St S
Ste 225
Waite Park, MN 56387
Phone (320) 200-7252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1151 Minnesota St E. #6
St Joseph, MN 56374
Mailing address
847 Sierra LN
Saint Cloud, MN 56303-1174
Other providers in St Joseph, MN
- Jesse Anderson
- Angela M Larcom LLC
- Arlington Place Assisted Living
- Barbara Ann Bautch-Smallbrock
- Amanda Beninga
- Michelle Lynn Bettin
- Gerard L Bobeldyk
- Kenneth J Breker
- Rebecca Breth
- Brittany a Phelps LLC
All providers in St Joseph, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.