Individual provider Active NPI

Rebecca Lynn Beutler, ED.D., LMHC

  • Counseling Psychologist
  • Puyallup, WA
National Provider Identifier
1619020047
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY60318110 Issued in WA
Practice address
5511 112TH Ave E Ste a
Puyallup, WA 98372-5903
Phone
(253) 278-9292
Fax
(253) 268-2021
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60083795 WA
Professional Counselor 101YP2500X RC00054134 WA
Counseling Psychologist 103TC1900X PY60318110 WA Primary

Addresses

Primary practice location

5511 112TH Ave E Ste a
Puyallup, WA 98372-5903

Mailing address

5511 112TH Ave E Ste a
Puyallup, WA 98372-5903
Phone (253) 278-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130812000861 WA Practitioner - Clinical Psychologist 8325280878 Practice locations: Puyallup, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5511 112TH Ave E
Suite a
Puyallup, WA 98372-5903
Phone (253) 278-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60083795WAMDMental Health Counselor
RC00054134WAMDProfessional Counselor
PY60318110WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Beutler LLC Mental Health PastSince Apr 24, 2013 Accepting new patients

Organizations & group practices 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1619020047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 112TH AVE E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725903",
            "telephone_number": "253-278-9292",
            "fax_number": "253-268-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 112TH AVE E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725903",
            "telephone_number": "253-278-9292",
            "fax_number": "253-268-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTLER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "ED.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60083795",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00054134",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60318110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.