Michelle Beilby

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2412 Issued in MN

Practice address

7314 Stagecoach TRL
Lino Lakes, MN 55014-3049

Phone

(763) 220-0433

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Arden Woods Psychological Services PAGroup PAC ID 3173429214, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Arden Woods Psychological Services PA

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1669576278
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1205162443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 STAGECOACH TRL",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143049",
            "telephone_number": "763-220-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 STAGECOACH TRL",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143049",
            "telephone_number": "763-220-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEILBY",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "800791",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305472100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anoka County Juvenile Center
• Stephanie L J Bailey, M.D.
• Shana Banas, SLP
• Bayandalai Counseling
• Uyanga Bayandalai, PHD, LPCC, LADC
• Bradley S Bengtson
• Catherine Berry, MD, PHD
• Elizabeth J Bertini, LMFT, LADC
• David Joseph Beyer, LADC, LICSW
• Jenelle M Boesch, PHARMD

• Marriage & Family Therapist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.