Individual provider Active NPI

Gregory J Behl

  • Addiction (Substance Use Disorder) Counselor
  • Saint Francis, MN
National Provider Identifier
1376011841
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
303911 Issued in MN
Practice address
23671 Saint Francis Blvd NW Ste 103
Saint Francis, MN 55070-9803
Phone
(763) 753-6639
Fax
(763) 753-4173
NPI assigned
Nov 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303911 MN Primary

Addresses

Primary practice location

23671 Saint Francis Blvd NW Ste 103
Saint Francis, MN 55070-9803

Mailing address

23671 Saint Francis Blvd NW Ste 103
Saint Francis, MN 55070-9803
Phone (763) 753-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
303911MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1376011841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23671 SAINT FRANCIS BLVD NW STE 103",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709803",
            "telephone_number": "763-753-6639",
            "fax_number": "763-753-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23671 SAINT FRANCIS BLVD NW STE 103",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709803",
            "telephone_number": "763-753-6639",
            "fax_number": "763-753-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHL",
        "first_name": "GREGORY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.