Active NPI
Pamela Becker, Ma, LMFT LLC
Doing business as Norhtwest Counseling
- Marriage & Family Therapist
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1963
- Legal business name
- PAMELA BECKER, MA, LMFT LLC
- Doing business as
- Norhtwest Counseling
- Practice address
- 2351 Connecticut Ave S Ste 105
Sartell, MN 56377-2479 - Phone
- (320) 316-0288
- NPI assigned
- Nov 20, 2017
- Last updated
- Nov 20, 2017
- 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
- Pamela Becker, MA, LMFT
- Title
- Provider/Therapist
- Phone
- (320) 282-7445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1963 | MN | Primary |
Addresses
Primary practice location
2351 Connecticut Ave S Ste 105
Sartell, MN 56377-2479
Mailing address
811 1St Ave N
Sartell, MN 56377-1437
Phone (320) 282-7445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073761631 | Medicaid | MN |
Other names 1
- Norhtwest Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2351 Connecticut Ave S
Ste 105
Sartell, MN 56377
Phone (320) 316-0288
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Marriage & Family Therapist
- Sartell, MN
- NPI 1073761631
-
- Marriage & Family Therapist
- Saint Cloud, MN
- NPI 1104152032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511136000000",
"number": "1407360928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 1ST AVE N",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771437",
"telephone_number": "320-282-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 CONNECTICUT AVE S STE 105",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772479",
"telephone_number": "320-316-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA BECKER, MA, LMFT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PROVIDER/THERAPIST",
"authorized_official_telephone_number": "320-282-7445",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073761631",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Norhtwest Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.