Charlotta Elyse Beal

Primary specialty

DriverTaxonomy code 172A00000X

License

15541150 Issued in TX

Practice address

11045 Landswalk Dr
#115
Houston, TX 77099-3450

Phone

(281) 989-2851

NPI assigned

Feb 1, 2012

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Charlotta Elyse Ashley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1124390448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 LANDSWALK DR",
            "address_2": "#115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770993450",
            "telephone_number": "281-989-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 LANDSWALK DR",
            "address_2": "#115",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770993450",
            "telephone_number": "281-989-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "CHARLOTTA",
        "middle_name": "ELYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "E6S6W5Q2",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "15541150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTA",
            "last_name": "ASHLEY",
            "middle_name": "ELYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beacon Mental Health & Social Services, PLLC
• Kendall Beaird
• Beal Behavioral Health
• Beal Counseling Associates (Beal Behavioral Health)
• Angela D Beal
• Janice M. Beal, PH. D.
• Jeffrey David Beal, PA-C
• Kristiana Nicole Beal
• Lauren Beal, MD
• Taylor Alexandria Beal, MD

• Driver in Houston, TX
• Providers in Houston, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.