Behrens Psychotherapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4073-125 Issued in WI

Legal business name

BEHRENS PSYCHOTHERAPY SERVICES, LLC

Practice address

140 S Main St
Thiensville, WI 53092-1956

Phone

(262) 689-0688

Fax

(262) 242-3219

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Jenna L Behrens, LPC

Title

President

Phone

(262) 689-0688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1881966588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 N MAGNOLIA DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925532",
            "telephone_number": "262-689-0688",
            "fax_number": "262-242-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921956",
            "telephone_number": "262-689-0688",
            "fax_number": "262-242-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHRENS PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-689-0688",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "4073-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1518173772",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.