Childrens Mental Health Services Reach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP2179 Issued in MN

Legal business name

CHILDRENS MENTAL HEALTH SERVICES REACH

Practice address

35382 U.S. Hwy 2 West
Grand Rapids, MN 55744

Phone

(218) 327-4886

Fax

(218) 327-4848

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beth Marie Prewett, PSYD LPCCNPI 1952594046

Title

Clinical Director

Phone

(218) 327-4886

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Children's Mental Health Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth M Prewett

  • Professional Counselor
  • Grand Rapids, MN
  • NPI 1952594046
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1295919033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35382 U.S. HWY 2 WEST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-327-4886",
            "fax_number": "218-327-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35382 U.S. HWY 2 WEST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-327-4886",
            "fax_number": "218-327-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MENTAL HEALTH SERVICES REACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PREWETT",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "218-327-4886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "134T5CH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915355101",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Todd Carlson, M.D.
• Natalie Jo Castle, PA-C
• Catherine a. McDonald
• Grace Elizabeth Chang, LICSW
• Childrens Mental Health Service Reach
• Heidi Raquel Childs
• Suzette Childs, RN BSN CDE CPT
• Angela Danette Christian, PMHNP
• James Dale Christian, MS. ED., LMFT
• Danielle Christopherson, LICSW

• Community/Behavioral Health Agency in Grand Rapids, MN
• Providers in Grand Rapids, 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 Jun 9, 2015; 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.