Beth Willrich, BA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T18025 Issued in IA

Practice address

2812 1St Ave
Perry, IA 50220-9709

Phone

(712) 243-5091

Fax

(712) 243-1337

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zion Integrated Behavioral Health Services Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Perry, IA
  • NPI 1851669378
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1417449166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221935",
            "telephone_number": "712-243-5091",
            "fax_number": "712-243-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 1ST AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502209709",
            "telephone_number": "712-243-5091",
            "fax_number": "712-243-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLRICH",
        "first_name": "BETH",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T18025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177394",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "68236",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy S Tunink
• Robert L Vallejo, R PH
• Erin Dean Ward, D.P.M.
• Lindsay Renae Weber, PA
• Teresa Lynn White, PTA
• Barbara Wishman
• Loren Woods, OTR
• David Alan Wright, RPH
• Joel Jesse Wright, D.D.S.
• Zion Integrated Behavioral Health Services Inc.

• Addiction (Substance Use Disorder) Counselor in Perry, IA
• Providers in Perry, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.