Active NPI
Gail K Beard, MA, LPC
- Counselor
- Springfield, IL
National Provider Identifier
1164939310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.005064
- Practice address
- 630 E Washington St FL 3
Springfield, IL 62701-1316 - Phone
- (217) 544-0842
- NPI assigned
- Jan 9, 2018
- Last updated
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.005064 | IL | Primary |
Addresses
Primary practice location
630 E Washington St FL 3
Springfield, IL 62701-1316
Mailing address
141 S Redwood LN
Decatur, IL 62522-2571
Phone (217) 371-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.005064 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1164939310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 S REDWOOD LN",
"city": "DECATUR",
"state": "IL",
"postal_code": "625222571",
"telephone_number": "217-371-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E WASHINGTON ST FL 3",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011316",
"telephone_number": "217-544-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "GAIL",
"middle_name": "K",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.005064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.