Individual provider Active NPI

Beverly Ward, LPC

  • Professional Counselor
  • Mountain BRK, AL
National Provider Identifier
1114687654
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1830 Issued in AL
Practice address
400 Office Park Dr Ste 230
Mountain BRK, AL 35223-3410
Phone
(205) 825-1423
Fax
(205) 533-9960
NPI assigned
Dec 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1830 AL Primary

Addresses

Primary practice location

400 Office Park Dr Ste 230
Mountain BRK, AL 35223-3410

Mailing address

400 Office Park Dr Ste 230
Mountain BRK, AL 35223-3410
Phone (205) 825-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003909 AL Practitioner - Mental Health Counselor 2860850260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Still Waters Counseling and Education CenterGroup PAC ID 3476087362, 7 clinicians

Practice addresses (Care Compare)

400 Office Park Dr
Suite 230
Mountain BRK, AL 35223-3410
Phone (205) 825-1423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1830ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling and Education Center CurrentSince Apr 15, 2024 Accepting new patients
Still Waters Counseling Center, LLC Professional CurrentSince Mar 9, 2023 Accepting new patients

Locations

400 Office Park Dr
Ste 230
Mountain Brk, AL 35223
Phone (205) 825-1423

217 Country Club Park
Mountain Brk, AL 35213
Phone (205) 276-1895

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1114687654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 230",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233410",
            "telephone_number": "205-825-1423",
            "fax_number": "205-533-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 230",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233410",
            "telephone_number": "205-825-1423",
            "fax_number": "205-533-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-25",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.