Individual provider Active NPI

Wade Aaron Besemer, LPCC, LADC

  • Mental Health Counselor
  • Mankato, MN
National Provider Identifier
1558714055
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2449 Issued in MN
Practice address
12 Civic Center PLZ Ste 1615
Mankato, MN 56001-7783
Phone
(507) 345-4679
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2449 MN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303381 MN

Addresses

Primary practice location

12 Civic Center PLZ Ste 1615
Mankato, MN 56001-7783

Mailing address

12 Civic Center PLZ Ste 1615
Mankato, MN 56001-7783
Phone (507) 345-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226000452 MN Practitioner - Mental Health Counselor 5597246793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

931 Madison Ave
Suite 205
Mankato, MN 56001-6995
Phone (507) 240-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303381MNMDAddiction (Substance Use Disorder) Counselor
2449MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Next-Level Counseling, Inc CurrentSince Dec 1, 2020 Accepting new patients
Wisconsin Lutheran Child and Family Service Inc Past Accepting new patients
Addictions and Stress Clinics LTD PastSince Apr 19, 2020 Accepting new patients
Wisconsin Lutheran Child & Family Service, Inc Past Accepting new patients

Locations

931 Madison Ave
Ste 205
Mankato, MN 56001
Phone (507) 240-3566

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1558714055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CIVIC CENTER PLZ STE 1615",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017783",
            "telephone_number": "507-345-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CIVIC CENTER PLZ STE 1615",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017783",
            "telephone_number": "507-345-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEMER",
        "first_name": "WADE",
        "middle_name": "AARON",
        "credential": "LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2449",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.