Bemidji Area Program for Recovery, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

BEMIDJI AREA PROGRAM FOR RECOVERY, INC.

Doing business as

Bemidji Area Program for Recovery Bagley Office

Practice address

16730 US Hwy 2
Bagley, MN 56621

Phone

(218) 444-5155

Fax

(218) 333-3921

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BEMIDJI AREA PROGRAM FOR RECOVERY, INC.As reported in NPPES

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

Authorized official

Name

Terri Lynn Buscher

Title

Director/Owner

Phone

(218) 444-5155

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Bemidji Area Program for Recovery Bagley Office Doing business as

Tax ID family

Bemidji Area Program for Recovery Inc Steps to Freedom Program4 organizations share this tax ID, including this one

Part of

Bemidji Area Program for Recovery Inc Steps to Freedom Program

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Bemidji Area Program for Recovery Inc. Steps to Freedom Program

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1659694172
  NPD tax ID
• Bemidji Area Program for Recovery, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1184877359
  NPD tax ID
• Bemidji Area Program for Recovery, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1477821973
  NPD tax ID

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1265177398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW STE 300",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013196",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16730 US HWY 2",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "56621",
            "telephone_number": "218-444-5155",
            "fax_number": "218-333-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEMIDJI AREA PROGRAM FOR RECOVERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEMIDJI AREA PROGRAM FOR RECOVERY, INC.",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "BUSCHER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "218-444-5155"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MINNESOTA",
            "identifier": "1410984460",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "1363897080",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "1411901281",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "1363573805",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411674742",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bemidji Area Program for Recovery Bagley Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Bagley, MN
• Providers in Bagley, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.