George Ray Beals, PH.D. LPC
Individual provider Active NPI Professional Counselor · Starkville, MS
NPI 1164639340 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164639340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0715 (MS)
- Practice address
- 519 Martin Luther King Dr W
Starkville, MS 39759 - Phone
- (662) 323-5588
- Fax
- (662) 323-5588
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Mar 17, 2025 through Mar 17, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0715 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starkville Counseling Associates, LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0715 | MS | Yes |
Addresses
Primary practice location
519 Martin Luther King Dr W
Starkville, MS 39759
Mailing address
519 Martin Luther King Drive West
Starkville, MS 39759
Phone (662) 323-5588
Other providers in Starkville, MS
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- Mallory Barber
- Jessie Nicole Bates
- Janice Baxter
- Baze Pharmacy LLC
- Kim L Beard
- Laquita Eloise Bedford
- Behavioral Research Assessment and Training Services
- Ashley Bennett
- Emily Bennett
All providers in Starkville, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.