Individual provider Active NPI

Beth Leanna

  • Mental Health Counselor
  • Milwaukee, WI
National Provider Identifier
1609481001
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
Benedict Center 1849 N Dr. Marin Luther King Dr.
Suite 101
Milwaukee, WI 53212
Phone
(414) 347-1774
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

Benedict Center 1849 N Dr. Marin Luther King Dr.
Suite 101
Milwaukee, WI 53212

Mailing address

623 Michigan Ave
South Milwaukee, WI 53172-2724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bleanna@benedictcenter.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1609481001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MICHIGAN AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BENEDICT CENTER 1849 N DR. MARIN LUTHER KING DR.",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-347-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANNA",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bleanna@benedictcenter.org",
            "affiliation": "N",
            "address_1": "Benedict Center 1849 N Dr. Marin Luther King Dr.",
            "address_2": "Suite 101",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.