Binesiikweg, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BINESIIKWEG, INC.

Practice address

522 Beltrami Ave NW
Suite 115
Bemidji, MN 56601-3001

Phone

(218) 760-2222

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa George-Humphrey, LICSWNPI 1629405915

Title

President

Phone

(218) 760-2222

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Melissa Ann George-Humphrey, LICSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1629405915
  Authorized official Same address or phone

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1144637810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW",
            "address_2": "SUITE 115",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013001",
            "telephone_number": "218-760-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW",
            "address_2": "SUITE 115",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013001",
            "telephone_number": "218-760-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINESIIKWEG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "GEORGE-HUMPHREY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-760-2222",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288620100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Kay Berg, MS
• Trinity Kylyn Bergeron, LADC
• Megan Jo Betters, MSW, LGSW
• Shristi Bhattarai, MBBS
• Wesley James Bickler, PHARM.D.
• Adam Birch
• Jan Birch, MSW, LICSW
• Heather Bird, CHW
• Mindie Bird, LADC
• Sarah Bjornson, MA, LPCC

• Community/Behavioral Health Agency in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.