Michael S Bezas, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-4680 Issued in ID

Practice address

722 Cheney Dr
Twin Falls, ID 83301-3472

Phone

(208) 320-1108

Fax

(208) 735-1890

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1215375266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CHENEY DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013472",
            "telephone_number": "208-320-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 CHENEY DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013472",
            "telephone_number": "208-320-1108",
            "fax_number": "208-735-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZAS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC-4680",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Mental Health Counselor in Idaho

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