Individual provider Active NPI

Jane Beatty, LMHC, AAT

  • Clinical Social Worker
  • Mashpee, MA
National Provider Identifier
1124207980
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5900 Issued in MA
Practice address
133 Falmouth Rd
Building 1, Suite F
Mashpee, MA 02649-2611
Phone
(508) 274-8957
Fax
(508) 477-2499
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5900 MA Primary

Addresses

Primary practice location

133 Falmouth Rd
Building 1, Suite F
Mashpee, MA 02649-2611

Mailing address

77 Carl Landi Cir
East Falmouth, MA 02536-7752
Phone (508) 274-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240202001206 MA Practitioner - Mental Health Counselor 8022461391 Practice locations: East Falmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Carl Landi Cir
East Falmouth, MA 02536-7752
Phone (508) 540-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5900MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1124207980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CARL LANDI CIR",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025367752",
            "telephone_number": "508-274-8957",
            "fax_number": "508-437-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FALMOUTH RD",
            "address_2": "BUILDING 1, SUITE F",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492611",
            "telephone_number": "508-274-8957",
            "fax_number": "508-477-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JANE",
        "credential": "LMHC, AAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.