Individual provider Active NPI

Jessie Beliard, LPC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1053771808
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15545 Issued in AZ
Practice address
6909 W Ray Rd Ste 138
Chandler, AZ 85226
Phone
(602) 303-8218
Fax
(602) 845-8218
NPI assigned
Mar 7, 2016
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 LPC-15545 AZ Primary

Addresses

Primary practice location

6909 W Ray Rd Ste 138
Chandler, AZ 85226

Mailing address

20988 E Via del Rancho
Queen Creek, AZ 85142-1699
Phone (602) 303-8218

Other practice location 1

483 w seed farm rd
sacaton, AZ 85147
Phone (602) 528-1200 ext. 7108

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-15545AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1053771808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20988 E VIA DEL RANCHO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421699",
            "telephone_number": "602-303-8218",
            "fax_number": "602-845-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 138",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "602-303-8218",
            "fax_number": "602-845-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 w seed farm rd",
            "address_purpose": "LOCATION",
            "city": "sacaton",
            "state": "AZ",
            "postal_code": "85147",
            "country_code": "US",
            "telephone_number": "602-528-1200 x7108",
            "fax_number": "602-528-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELIARD",
        "first_name": "JESSIE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.