Jalecia Alexandria Beatty, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16246 Issued in NC

Practice address

10500 Ligon Mill Rd Ste 101
Wake Forest, NC 27587-4576

Phone

(919) 457-1274

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1093300667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 EDGERTON DR APT 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122686",
            "telephone_number": "919-559-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 LIGON MILL RD STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874576",
            "telephone_number": "919-457-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JALECIA",
        "middle_name": "ALEXANDRIA",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Baxt, FNP-C
• Yevgeniya Bayda
• Beacon Behavioral Health, PLLC
• Jonathan Michael Beam, PHARMD
• Robert Lee Beamon Jr.
• Brandon Beaver
• Angela Beebe
• Belgat and Associates PLLC
• Bella Derma Spa
• Alexis Bellacera, OTR

• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.