Active NPI
Debra Beemer
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1881138048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01334
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 863-8511
- NPI assigned
- Dec 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01334 | MN | |
| Professional Counselor | 101YP2500X | CC01334 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
1300 27TH St
Hudson, WI 54016-6742
Phone (651) 325-7006
Other practice location 1
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8730
Other practice location 2
6303 Osgood Ave N
Stillwater, MN 55082-6101
Phone (651) 383-4800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01334 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Couples & Family Therapy Center, LLC | 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.
-
- Marriage & Family Therapist
- Hudson, WI
- NPI 1073747804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881138048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 27TH ST",
"city": "HUDSON",
"state": "WI",
"postal_code": "540166742",
"telephone_number": "651-325-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-863-8511"
}
],
"practiceLocations": [
{
"address_1": "333 Smith Ave N",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022344",
"country_code": "US",
"telephone_number": "651-241-8730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6303 Osgood Ave N",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826101",
"country_code": "US",
"telephone_number": "651-383-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEEMER",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01334",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.