Active NPI
Rebecca Lynn Beutler, ED.D., LMHC
- Counseling Psychologist
- Puyallup, WA
National Provider Identifier
1619020047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY60318110
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60083795 | WA | MD | Mental Health Counselor |
| RC00054134 | WA | MD | Professional Counselor |
| PY60318110 | WA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Beutler LLC | Mental Health | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.