Beach Life Counseling & Consulting Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004811 Issued in VA

Legal business name

BEACH LIFE COUNSELING & CONSULTING SERVICES, PLLC

Doing business as

Beach Life Counseling

Practice address

576 N Birdneck Rd Ste 631
Virginia Beach, VA 23451-6374

Phone

(757) 837-2483

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Jayne Carrels-Zeller, MS, LPC, NCC

Title

Owner - Private Practice Counseling

Phone

(757) 837-2483

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beach Life Counseling Doing business as

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1114438702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N BIRDNECK RD STE 631",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516374",
            "telephone_number": "757-837-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N BIRDNECK RD STE 631",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516374",
            "telephone_number": "757-837-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH LIFE COUNSELING & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "CARRELS-ZELLER",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER - PRIVATE PRACTICE COUNSELING",
        "authorized_official_telephone_number": "757-837-2483",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004811",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6608-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 1",
            "identifier": "1376793083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beach Eye Care, Inc.
• Beach Family Medicine, Inc.
• Beach Health Clinic,Inc.
• Beach Hearing
• Beach Kids Pediatrics PLLC
• Beach Life Nutrition LLC
• Beach Medical Group PC (Total Health Center)
• Beach Medical Group, PC (Total Health Center)
• Beach Medical Suppliers LLC
• Beach Neuropsychology Services LLC

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.