Beenen Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW10043 Issued in FL

Legal business name

BEENEN COUNSELING, LLC

Practice address

402 4TH St N
Jacksonville Beach, FL 32250-5620

Phone

(904) 624-1960

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Selina Beenen, LCSWNPI 1922317668

Title

Owner

Phone

(904) 624-1960

Specialties & licenses 1

Addresses

Other names 1

• Beenen Therapy Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Selina Beenen, LCSW

  • Clinical Social Worker
  • Jacksonville Beach, FL
  • NPI 1922317668
  Medicare reassignment Care Compare group NPD Authorized official
• Meghan Jeffrey

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1710553334
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1144525890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 4TH ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505620",
            "telephone_number": "904-624-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 4TH ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505620",
            "telephone_number": "904-624-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEENEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BEENEN",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-624-1960",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW10043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beenen Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beaded Star Recovery,LLC
• Delilah Lynn Beall, PT, DPT
• Alice Gee-Su Beard, PA-C
• Katherine Beck
• James Carberry Bedle, DC
• Selina Beenen, LCSW
• Behavioral Building Blocks of Florida LLC
• Behavioral Innovations, LLC
• Alison Lee Behrens, LMHC
• Norberto Benitez, M.D.

• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.