Organization Active NPI

Rebecca D Bean Behrend

  • Mental Health Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1376635094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2352 Issued in WI
Legal business name
REBECCA D BEAN BEHREND
Practice address
464 Daly Ave
#1
Wisconsin Rapids, WI 54494-4746
Phone
(175) 423-2030
Fax
(715) 423-2032
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah S Fuehrer, BSW
Title
Administrative Assistant
Phone
(715) 423-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2352 WI Primary

Addresses

Primary practice location

464 Daly Ave
#1
Wisconsin Rapids, WI 54494-4746

Mailing address

464 Daly Ave
#1
Wisconsin Rapids, WI 54494-4746
Phone (175) 423-2030

Other identifiers 5

IdentifierTypeStateIssuer
32040300MedicaidWI
42242700MedicaidWI
39771800MedicaidWI
43572300MedicaidWI
39131600MedicaidWI

Other names 1

  • Behrend Psychology Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behrend Psychology Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

464 Daly Ave
#1
Wisconsin Rapids, WI 54494
Phone (715) 423-2030

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376635094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 DALY AVE",
            "address_2": "#1",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944746",
            "telephone_number": "175-423-2030",
            "fax_number": "715-423-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 DALY AVE",
            "address_2": "#1",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944746",
            "telephone_number": "175-423-2030",
            "fax_number": "715-423-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA D BEAN BEHREND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUEHRER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "715-423-2030",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32040300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42242700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39771800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43572300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39131600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behrend Psychology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.