Individual provider Active NPI

Alissa Beuerlein, PH.D., LPC-MHSP

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1003189226
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2558 Issued in TN
Practice address
2200 21St Ave S Ste 410
Nashville, TN 37212-4929
Phone
(615) 887-4667
NPI assigned
Feb 18, 2012
Last updated
Oct 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2558 TN Primary

Addresses

Primary practice location

2200 21St Ave S Ste 410
Nashville, TN 37212-4929

Mailing address

2200 21St Ave S Ste 410
Nashville, TN 37212-4929
Phone (615) 887-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2558TNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1329523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1003189226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 410",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-887-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 410",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-887-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUERLEIN",
        "first_name": "ALISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-18",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.