M.P. Terrina Beatty, MED, LPC, CACIII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2449 Issued in CO

Practice address

706 Crown Point Dr
Colorado Springs, CO 80906-4872

Phone

(970) 314-1663

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Patricia Beatty Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1023263480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E CHEYENNE MOUNTAIN BLVD STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064560",
            "telephone_number": "970-314-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CROWN POINT DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064872",
            "telephone_number": "970-314-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "M.P.",
        "middle_name": "TERRINA",
        "credential": "MED, LPC, CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "5567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BEATTY",
            "middle_name": "PATRICIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael W Beasley, D.D.S
• Cheryl Anne Beatrice, P.H.D, L.M.F.T.
• Cami Beatty
• Gabriel Beatty
• India Beatty
• Roland Beatty
• Tiffany Beaubien
• Samantha Beaubouef
• Sara E. Beauchamp, PA
• Mary Anna Beaudin, LCSW

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.