Jacqueline Y Beam, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-0164631 Issued in NM

Practice address

5686 Agua Fria St
Santa Fe, NM 87507-9001

Phone

(505) 983-0586

NPI assigned

Apr 23, 2010

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1124345681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 RANCHO SIRINGO RD APT 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055530",
            "telephone_number": "505-316-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5686 AGUA FRIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079001",
            "telephone_number": "505-983-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "JACQUELINE",
        "middle_name": "Y",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0164631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Baumbach
• Katherine Bauschke
• Erika Baxter
• BD Santa Fe LLC
• Andrew N Beagle, M.D.
• Jonathan David Beamer, MD
• Elizabeth Ann Bear
• Jan V.T. Bear, MD
• Kim Bear, F.N.P.
• Dorothy Lucille Beatty, D.D.S.

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.