James Bean II, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23109 Issued in MN

Practice address

13200 E Manor Blvd
Burnsville, MN 55337-2092

Phone

(952) 686-4735

NPI assigned

Apr 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Realtalk-Consulting

  • Mental Health Counselor
  • Hastings, MN
  • NPI 1558211730
  NPD Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1730533399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 E MANOR BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372092",
            "telephone_number": "952-686-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 E MANOR BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372092",
            "telephone_number": "952-686-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "JAMES",
        "name_suffix": "II",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Bawek, D.C.
• Alexander John Baxa, DO
• Princess Precious Baygboe
• Beruktawit Yilma Bayie
• Sara Elizabeth Beach, OTR/L
• Melanie Beasley, RD
• Jason Becker, LMFT
• Gurdesh Singh Bedi, MD
• Janice Coe Beeson
• Ayantu G/Medhin Bekuto

• Clinical Social Worker in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.