Childrens Mental Health Service Reach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP2179 Issued in MN

Legal business name

CHILDRENS MENTAL HEALTH SERVICE REACH

Doing business as

Children's Mental Health Services

Practice address

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

Phone

(218) 327-4886

Fax

(218) 327-4848

NPI assigned

Dec 13, 2006

Last updated

Aug 8, 2013By the provider in NPPES

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, PSY D LPCCNPI 1952594046

Title

Clinical Director

Phone

(218) 327-4886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Children's Mental Health Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beth M Prewett

  • Professional Counselor
  • Grand Rapids, MN
  • NPI 1952594046
  Authorized official Same address or phone

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1366504904",
    "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 SERVICE REACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-08-08",
        "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": "PSY D LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552553500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald M Carlson, PT
• Jeremy Todd Carlson, M.D.
• Natalie Jo Castle, PA-C
• Catherine a. McDonald
• Grace Elizabeth Chang, LICSW
• Childrens Mental Health Services Reach (Children's Mental Health Services)
• Heidi Raquel Childs
• Suzette Childs, RN BSN CDE CPT
• Angela Danette Christian, PMHNP
• James Dale Christian, MS. ED., LMFT

• 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 Aug 8, 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.