Rebel Heart Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REBEL HEART HEALING

Practice address

1601 Salmon Creek LN Ste B
Juneau, AK 99801-7867

Phone

(907) 419-8254

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Anne Beaulieu, CSWNPI 1760761712

Title

President

Phone

(907) 419-8254

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.

• Michelle Anne Beaulieu, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1760761712
  NPD Authorized official

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1962919423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PETERS LN APT C",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998012037",
            "telephone_number": "907-419-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SALMON CREEK LN STE B",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017867",
            "telephone_number": "907-419-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL HEART HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-419-8254",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reach, Inc
• Reach, Inc
• Reach, Inc.
• Reach, Inc.
• Reach, Inc.
• Zoe Rediger
• John Redlich
• Jeremy Reece
• Lynne Reece
• Kelly Jeanette Hansen Reed, M.ED, LPC, NCC

• Clinical Social Worker in Juneau, AK
• Providers in Juneau, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.