Active NPI
Rebecca D Bean Behrend
- Mental Health Counselor
- Wisconsin Rapids, WI
National Provider Identifier
1376635094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2352
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32040300 | Medicaid | WI | |
| 42242700 | Medicaid | WI | |
| 39771800 | Medicaid | WI | |
| 43572300 | Medicaid | WI | |
| 39131600 | Medicaid | WI |
Other names 1
- Behrend Psychology Consultants
National Provider Directory
National Provider Directory- Tax ID family
- Behrend Psychology Consultants
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Wisconsin Rapids, WI
- NPI 1275673717
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.
-
- Clinical Social Worker
- Wisconsin Rapids, WI
- NPI 1902835861
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.