Organization Active NPI

Cyrilla a Beveridge LPC-S LLC

  • Mental Health Counselor
  • Auburn, AL
National Provider Identifier
1063259141
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CYRILLA A BEVERIDGE LPC-S LLC
Practice address
311 N. College St
Auburn, AL 36830
Phone
(334) 728-7911
Fax
(334) 329-7090
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Cyrilla A Beveridge, LPCNPI 1881927267
Title
Managing Member
Phone
(334) 728-7911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

311 N. College St
Auburn, AL 36830

Mailing address

311 N College St
Auburn, AL 36830-3814
Phone (334) 728-7911

National Provider Directory

National Provider Directory

Locations

311 N College St
Auburn, AL 36830
Phone (334) 219-0425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1063259141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N COLLEGE ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303814",
            "telephone_number": "334-728-7911",
            "fax_number": "334-329-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N. COLLEGE ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-728-7911",
            "fax_number": "334-329-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRILLA A BEVERIDGE LPC-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BEVERIDGE",
        "authorized_official_first_name": "CYRILLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "334-728-7911",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.