CARLYN BECKER (NPI# 1194185728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194185728 |
| Entity Type | Individual |
| Full Name | CARLYN BECKER |
| Practice Address |
4706 Wilderness Ct Ste 101 Brainerd MN 56401-2887 |
| Practice Telephone | 2184543995 |
| Practice Fax Number | 8888303939 |
| Mailing Telephone | 2184543995 |
| Mailing Fax Number | 8888303939 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303742 | MN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01826 | MN | Behavioral Health & Social Service Providers |
| Street Address |
4706 WILDERNESS CT STE 101 |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1861965964 | Ashley Roberts Therapy Services, LLC | Social Worker | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401-2887 | 2019-01-10 |
| 1922584879 | Carlyn Becker Therapy Services | Community/Behavioral Health | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401-2887 | 2018-07-13 |
| 1952763120 | Ashley Alise Roberts | Social Worker | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2016-03-25 |
| 1982064689 | Jennifer Owens Therapy Services, LLC | Community/Behavioral Health | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| 1386774610 | Stuart James Popkin | Social Worker | 520 5th St. N.w., Brainerd, MN 56401 | 2007-03-06 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498084 | Claribel Severson | Counselor | 401 W Laurel St Ste C, Brainerd, MN 56401-3970 | 2015-10-04 |
| 1164610556 | Laura Carolyne Halonen | Counselor | 11615 State Avenue, Brainerd, MN 56401-1797 | 2007-10-10 |
| 1144422882 | Rodney Lamar Knowles | Counselor | 723 S 5th St, Brainerd, MN 56401-4018 | 2007-06-04 |
| 1356804462 | Catherine Disterhaupt | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2019-04-08 |
| 1205305406 | Susan Lee Schwankl | Counselor | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2018-11-16 |
| 1992201511 | Katie Jene Garrey Swenson | Counselor | 823 Maple St, Brainerd, MN 56401 | 2018-04-03 |
| 1669991071 | Melissa Lee Stave | Counselor | 201 W Laurel St, Brainerd, MN 56401-3902 | 2017-09-18 |
| 1053856435 | Monica Nieman | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2016-12-21 |
| 1093263113 | The Therapist Plc | Counselor | 401 W Laurel St Ste C, Brainerd, MN 56401-3970 | 2016-09-19 |
| 1720535974 | Kimberly Kay Schaefbauer | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2016-09-06 |
| Find all providers in BRAINERD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.