Active NPI
Jeffery Allen Beaty, D.H.ED., LMSW
- Social Worker
- La Grange, KY
National Provider Identifier
1013255702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4633
- Practice address
- 4600 Stonelea PL
La Grange, KY 40031-6706 - Phone
- (502) 381-9053
- NPI assigned
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4633 | TN | Primary |
Addresses
Primary practice location
4600 Stonelea PL
La Grange, KY 40031-6706
Mailing address
4600 Stonelea PL
La Grange, KY 40031-6706
Phone (502) 381-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4633 | TN | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remind Health Group, LLC | Current | Accepting new patients | |
| Remind Health Group, LLC | Current | Accepting new patients | |
| Legacy First Health Group | Social Worker | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Louisville, KY
- NPI 1851098685
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1588338032
-
- Social Worker
- La Grange, KY
- NPI 1710376744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1013255702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 STONELEA PL",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400316706",
"telephone_number": "502-381-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 STONELEA PL",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400316706",
"telephone_number": "502-381-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATY",
"first_name": "JEFFERY",
"middle_name": "ALLEN",
"credential": "D.H.ED., LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "4633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.