Beverly Jo Bejarano, LPC
Individual provider Active NPI Professional Counselor · Arkadelphia, AR
NPI 1023274347 · NPPES record last updated Apr 6, 2016
Key facts
- NPI
- 1023274347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P1006044 (AR)
- Practice address
- 2607 Caddo St
Suite 6
Arkadelphia, AR 71923-5307 - Phone
- (870) 230-8217
- Fax
- (870) 230-8201
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0702007 | AR | MD | Counselor |
| P1006044 | AR | MD | Professional Counselor |
| R81312 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Counseling and Psychodiagnostics, Inc. | Past | Accepting new patients | |
| Arkansas Counseling and Psychodiagnostics, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A0702007 | AR | |
| Professional Counselor | 101YP2500X | P1006044 | AR | Yes |
| Registered Nurse | 163W00000X | R81312 | AR |
Addresses
Primary practice location
2607 Caddo St
Suite 6
Arkadelphia, AR 71923-5307
Mailing address
1036 N. 15TH Street
Arkadelphia, AR 71913
Phone (870) 403-6708
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116399726 | Medicaid | AR |
Other providers in Arkadelphia, AR
- Ashton Danielle Barrett
- Jabria Barrett
- Taylor McKenna Bass
- Ariel Bealer
- Tina Beals
- Allison Bell
- Bruce Irwin Bell
- David Julian Bell
- Kristina Olegovna Bennett
- Bethel Burris Oliver PLLC
All providers in Arkadelphia, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.