Halbert Beaver

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

162675 Issued in CA

Practice address

23115 Rider St
Perris, CA 92570-9723

Phone

(951) 686-8500

NPI assigned

Sep 15, 2022

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Olive Crest

  • Mental Illness Community Based Residential Treatment Facility
  • Perris, CA
  • NPI 1285288316
  NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1124740139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23115 RIDER ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709723",
            "telephone_number": "951-686-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23115 RIDER ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709723",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "HALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randee Barraza, CAS
• Daniel Barrera, M.A., LMFT
• Leslie Carolyn Barron-Topete
• Rachael Arlene Basquez
• Martina Basta, DDS
• Stacey Leeanne Beckman
• Veronica Denay Bejarano
• Masum Abdul Khabir Bennerson, PRC
• Russle Calvinist Benson, PHARMD
• Brian Keith Bernard, PTA

• All providers in Perris, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.