NPIMap

Organization Active NPI

Beaty Recovery Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Gastonia, NC
National Provider Identifier
1124570908
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6008703 Issued in NC
Legal business name
BEATY RECOVERY SERVICES LLC
Practice address
436 E Long Ave
Suite 2
Gastonia, NC 28054-2516
Phone
(704) 864-3900
Fax
(704) 864-3988
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Ms. Linda Beaty Cloninger, CCS, LCASNPI 1174711527
Title
Director Owner
Phone
(704) 864-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6008703 NC Primary

Addresses

Primary practice location

436 E Long Ave
Suite 2
Gastonia, NC 28054-2516

Mailing address

436 E Long Ave
Suite 2
Gastonia, NC 28054-2516
Phone (704) 864-3900

National Provider Directory

National Provider Directory
Tax ID family
Beaty Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

436 E Long Ave
Ste 2
Gastonia, NC 28054
Phone (704) 864-3900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1124570908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE",
            "address_2": "SUITE 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542516",
            "telephone_number": "704-864-3900",
            "fax_number": "704-864-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE",
            "address_2": "SUITE 2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542516",
            "telephone_number": "704-864-3900",
            "fax_number": "704-864-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATY RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "CLONINGER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BEATY",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "704-864-3900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCS, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "6008703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.