Rebecca Beatty, NCMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16509 Issued in NC

Practice address

8201 Arrowridge Blvd Ste 148
Charlotte, NC 28273-5865

Phone

(704) 207-0995

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P&G Clinical Services PLLC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1871851113
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1003480807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 E STONEWALL ST APT 335",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023438",
            "telephone_number": "985-705-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD STE 148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735865",
            "telephone_number": "704-207-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "NCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesia Beatty-Lloyd
• Cameron Wade Beatty
• Felicia Beatty
• Judy Beatty, CRNA
• Michael Beatty, M.D.
• Tony Ray Beatty, LCAS, CCS
• Tracey Lynne Beaty, LCMHC
• Danielle Beauchamp, OTR/L
• Nicolas Michael Beaupre, O.D.
• Renee Beauregard, MSN, PMHNP-BC, RN

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.