Individual provider Active NPI

Josh Jordan Beavers

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1154717460
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2448 E 81St St Ste 5100
Tulsa, OK 74137-4289
Phone
(405) 822-7635
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2448 E 81St St Ste 5100
Tulsa, OK 74137-4289

Mailing address

2448 E 81St St Ste 5100
Tulsa, OK 74137-4289
Phone (405) 822-7635

Other practice location 1

9221 N MacArthur Blvd Apt D
Oklahoma City, OK 73132-2498
Phone (405) 822-7635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240116003938 OR Practitioner - Mental Health Counselor 9830541747 Reassigns benefits to 2 organizations
I20240914000064 OK Practitioner - Mental Health Counselor 9830541747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

11100 E 96TH St S
Apt 1131
Tulsa, OK 74133-5473
Phone (702) 524-4162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soaak Clinics LLC Mental Health CurrentSince Nov 17, 2024 Accepting new patients
Live Life Now Health Group PA CurrentSince Jan 1, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Aug 1, 2024 Accepting new patients
Family Wellness Counseling Current Accepting new patients
Cardiovascular Surgical Specialists Corp PastSince Sep 17, 2023 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

350 7th Ave
Rm 600
New York, NY 10001

2448 E 81st St
Ste 5100
Tulsa, OK 74137
Phone (918) 584-2500

10260 SW Greenburg Rd
Ste 400
Tigard, OR 97223
Phone (208) 996-3519

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1154717460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374289",
            "telephone_number": "405-822-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 5100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374289",
            "telephone_number": "405-822-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9221 N MacArthur Blvd Apt D",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731322498",
            "country_code": "US",
            "telephone_number": "405-822-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "JOSH",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.