Organization Active NPI

Beach Counseling & Testing, Inc.

  • Mental Health Counselor
  • Milton, DE
National Provider Identifier
1104004217
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000419 Issued in DE
Legal business name
BEACH COUNSELING & TESTING, INC.
Practice address
17169 Jays Way
Milton, DE 19968-3413
Phone
(302) 703-2213
Fax
(302) 703-2744
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Les A Binnix, PLCMH
Title
President
Phone
(302) 703-2213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC0000419 DE Primary
Marriage & Family Therapist 106H00000X PC0000419 DE

Addresses

Primary practice location

17169 Jays Way
Milton, DE 19968-3413

Mailing address

17169 Jays Way
Milton, DE 19968-3413
Phone (302) 703-2213

Other identifiers 1

IdentifierTypeStateIssuer
1124206271MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1104004217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17169 JAYS WAY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683413",
            "telephone_number": "302-703-2213",
            "fax_number": "302-703-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17169 JAYS WAY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683413",
            "telephone_number": "302-703-2213",
            "fax_number": "302-703-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH COUNSELING & TESTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BINNIX",
        "authorized_official_first_name": "LES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-703-2213",
        "authorized_official_credential": "PLCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000419",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "PC0000419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124206271",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.