Active NPI
Becoming Behavioral Health & Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, MN
National Provider Identifier
1902411093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BECOMING BEHAVIORAL HEALTH & WELLNESS PLLC
- Practice address
- 7900 International Dr Ste 300
Bloomington, MN 55425-2562 - Phone
- (708) 441-9240
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Eason, APN, PMHNP-BC
- Title
- President
- Phone
- (708) 441-9240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
7900 International Dr Ste 300
Bloomington, MN 55425-2562
Mailing address
7900 International Dr Ste 300
Bloomington, MN 55425-2562
Phone (708) 441-9240
Other practice location 1
1449 S Michigan Ave # 1012
Chicago, IL 60605-2810
Phone (708) 441-9240
Other practice location 2
963 Route 146 Ste 1
Clifton Park, NY 12065-3636
Phone (708) 441-9240
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277000548 | Other | IL | APRN LICENSE |
| 7401 | Other | MN | APRN LICENSE |
| F4025561 | Other | NY | APRN LICENSE |
National Provider Directory
National Provider DirectoryLocations
9249 S Cicero Ave
Unit 598
Oak Lawn, IL 60454
7900 International Dr
#7039
Bloomington, MN 55425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1902411093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 INTERNATIONAL DR STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554252562",
"telephone_number": "708-441-9240",
"fax_number": "866-351-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 INTERNATIONAL DR STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554252562",
"telephone_number": "708-441-9240"
}
],
"practiceLocations": [
{
"address_1": "1449 S Michigan Ave # 1012",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606052810",
"country_code": "US",
"telephone_number": "708-441-9240",
"fax_number": "866-351-1969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "963 Route 146 Ste 1",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120653636",
"country_code": "US",
"telephone_number": "708-441-9240",
"fax_number": "866-351-1969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BECOMING BEHAVIORAL HEALTH & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2022-12-28",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "EASON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-441-9240",
"authorized_official_credential": "APN, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "277000548",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "7401",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "F4025561",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.