Active NPI
Jennifer C Beard, LCSW
- Clinical Social Worker
- Albany, OR
National Provider Identifier
1053852616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L16068
- Practice address
- 2225 Pacific Blvd SE Ste 203
Albany, OR 97321-7904 - Phone
- (541) 204-0640
- NPI assigned
- Mar 15, 2017
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | L16068 | OR | Primary |
Addresses
Primary practice location
2225 Pacific Blvd SE Ste 203
Albany, OR 97321-7904
Mailing address
PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L16068 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Counseling Service, LLC. Dba Northlight Counseling | Clinical | Current | Accepting new patients |
Locations
2225 Pacific Blvd SE
Ste 101
Albany, OR 97321
Phone (541) 321-2278
2225 Pacific Blvd SE
Ste 203
Albany, OR 97321
Phone (541) 204-0640
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1447715834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1053852616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "ALBANY",
"state": "OR",
"postal_code": "973210031",
"telephone_number": "541-967-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PACIFIC BLVD SE STE 203",
"city": "ALBANY",
"state": "OR",
"postal_code": "973217904",
"telephone_number": "541-204-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L16068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.