Bernadette Rock, SACIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15838-130 Issued in WI

Practice address

88385 Pike Rd
Bayfield, WI 54814-4818

Phone

(715) 779-3741

Fax

(715) 779-3765

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By the provider in NPPES

Sex

Female

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

Practice roles

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

• Red Cliff Aoda Program/Mishomis House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bayfield, WI
  • NPI 1457688863
  NPD (past)
• Red Cliff Band of Chippewa Indians

  dba Red Cliff AODA Program

  • Addiction (Substance Use Disorder) Counselor
  • Bayfield, WI
  • NPI 1023167954
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1356678700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37390 N BRADUM RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144832",
            "telephone_number": "715-779-3741",
            "fax_number": "715-779-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88385 PIKE RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144818",
            "telephone_number": "715-779-3741",
            "fax_number": "715-779-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "SACIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15838-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42128500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Cliff Band of Lake Superior Chippewa (Tribe)
• Red Cliff Band of Lake Superior Chippewa (Red Cliff Community Health Center)
• Red Cliff Band of Lake Superior Chippewa Indians (Red Cliff Ambulance Service)
• Red Cliff Band of Lake Superior Chippewa Indians (Red Cliff Community Health Center)
• Ann Elizabeth Reitz, M.D.
• Craig O Shanks, LPC
• Barbara M Tellier, RPH
• Erin A Tenney, C.N.M
• The Equine Connection LLC
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)

• Addiction (Substance Use Disorder) Counselor in Bayfield, WI
• Providers in Bayfield, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.