Active NPI
Carlyn Becker Therapy Services
- Community/Behavioral Health Agency
- Nisswa, MN
National Provider Identifier
1922584879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CC01826
- Legal business name
- CARLYN BECKER THERAPY SERVICES
- Practice address
- 25210 Hazelwood Dr
Nisswa, MN 56468-2797 - Phone
- (218) 821-1208
- NPI assigned
- Jul 13, 2018
- Organization subpart
- Yes
- Parent organization
- CARLYN BECKER THERAPY SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carlyn Becker, MPS, LADC, LPCC
- Title
- Owner
- Phone
- (763) 438-4619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 303742 | MN | |
| Community/Behavioral Health Agency | 251S00000X | CC01826 | MN | Primary |
Addresses
Primary practice location
25210 Hazelwood Dr
Nisswa, MN 56468-2797
Mailing address
25210 Hazelwood Dr
Nisswa, MN 56468-2797
Phone (763) 438-4619
Other names 1
- Carlyn Becker Therapy Services
National Provider Directory
National Provider Directory- Part of
- Carlyn Becker Therapy Services
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Nisswa, MN
- NPI 1194185728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1922584879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25210 HAZELWOOD DR",
"city": "NISSWA",
"state": "MN",
"postal_code": "564682797",
"telephone_number": "763-438-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25210 HAZELWOOD DR",
"city": "NISSWA",
"state": "MN",
"postal_code": "564682797",
"telephone_number": "218-821-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLYN BECKER THERAPY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARLYN BECKER THERAPY SERVICES",
"enumeration_date": "2018-07-13",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "CARLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-438-4619",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPS, LADC, LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "303742",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "CC01826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carlyn Becker Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nisswa, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.