Organization Active NPI

Reach PLLC

  • Professional Counselor
  • Bemidji, MN
National Provider Identifier
1417587403
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REACH PLLC
Practice address
2408 Tracy CT NW
Bemidji, MN 56601-5638
Phone
(651) 587-6825
NPI assigned
Jan 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Ashlea Megen McMartin, LPCCNPI 1134555857
Title
Director
Phone
(651) 587-6826

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2408 Tracy CT NW
Bemidji, MN 56601-5638

Mailing address

2840 Timberlane Way SW
Bemidji, MN 56601-8245
Phone (651) 587-6826

National Provider Directory

National Provider Directory

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": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1417587403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 TIMBERLANE WAY SW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018245",
            "telephone_number": "651-587-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 TRACY CT NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015638",
            "telephone_number": "651-587-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "MCMARTIN",
        "authorized_official_first_name": "ASHLEA",
        "authorized_official_middle_name": "MEGEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-587-6826",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.