Transitions Behavioral Health, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3590-125 Issued in WI

Legal business name

TRANSITIONS BEHAVIORAL HEALTH, LLC

Practice address

317 Dewitt St
Portage, WI 53901-2155

Phone

(608) 617-5400

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Beckett, LPCNPI 1255540027

Title

Clinic Administrator

Phone

(608) 617-5400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lynn Beckett, LPC

  • Professional Counselor
  • Portage, WI
  • NPI 1255540027
  NPD (past) Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1831419324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010445",
            "telephone_number": "608-617-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DEWITT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012155",
            "telephone_number": "608-617-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "608-617-5400",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3590-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Madonna Thompson, DPT
• Tara Ann Tibbe, OTR
• Timothy J Rosin DDS SC
• Theresa Tonn
• Melissa Trago
• University of Wisconsin Medical Foundation Inc
• Mario RL Valenzuela, MD
• Matthew J Vanderkooi, PT
• Theodore Vandermeuse, ATC/LAT
• Saikham Vang

• Counselor in Portage, WI
• Providers in Portage, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.