CARLYN BECKER THERAPY SERVICES (NPI# 1922584879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922584879 |
| Entity Type | Organization |
| Organization Name | CARLYN BECKER THERAPY SERVICES |
| Other Organization Name | CARLYN BECKER THERAPY SERVICES |
| 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 | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | MS. CARLYN BECKER (OWNER) |
| Authorized Official Telephone | 7634384619 |
| Authorized Official Credential | MPS, LADC, LPCC |
| Is Organization Subpart | Y |
| Parent Organization Name | CARLYN BECKER THERAPY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 303742 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | CC01826 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Carlyn Becker Therapy Services | Doing Business As Name - Organization |
| 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 |
| 1952763120 | Ashley Alise Roberts | Social Worker | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2016-03-25 |
| 1194185728 | Carlyn Becker | Counselor | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401-2887 | 2016-02-24 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245396076 | Oakridge Support Services, Inc | Community/Behavioral Health | 1021 Industrial Park Rd Sw, Brainerd, MN 56401-8338 | 2006-12-28 |
| 1659905040 | Golden Heart Home Health Services LLC | Community/Behavioral Health | 601 Madison St, Brainerd, MN 56401-4518 | 2020-02-25 |
| 1982064689 | Jennifer Owens Therapy Services, LLC | Community/Behavioral Health | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2016-02-24 |
| 1225168602 | Northern Pines Mental Health Center, Inc. | Community/Behavioral Health | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2007-03-06 |
| 1134261290 | Northern Pines Mental Health Center, Inc | Community/Behavioral Health | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.