Active NPI
Reach PLLC
- Professional Counselor
- Bemidji, MN
National Provider Identifier
1417587403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlea Megen McMartin, LPCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryPractitioners & 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.