Organization Active NPI

Face It Together Bemidji

  • Peer Specialist
  • Bemidji, MN
National Provider Identifier
1336715572
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
FACE IT TOGETHER BEMIDJI
Practice address
408 Beltrami Ave NW Ste 100
Bemidji, MN 56601-3222
Phone
(218) 444-8753
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Christopher Erle, CPRS
Title
Executive Director
Phone
(218) 444-8753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

408 Beltrami Ave NW Ste 100
Bemidji, MN 56601-3222

Mailing address

408 Beltrami Ave NW Ste 100
Bemidji, MN 56601-3222
Phone (218) 444-8753

National Provider Directory

National Provider Directory

Locations

408 Beltrami Ave NW
Ste 100
Bemidji, MN 56601
Phone (218) 444-8753

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1336715572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BELTRAMI AVE NW STE 100",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013222",
            "telephone_number": "218-444-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BELTRAMI AVE NW STE 100",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013222",
            "telephone_number": "218-444-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACE IT TOGETHER BEMIDJI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "ERLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-444-8753",
        "authorized_official_credential": "CPRS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.