Individual provider Active NPI

Beverley Sue Dunn, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1174038467
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700449 Issued in OH
Practice address
4010 Executive Park Dr Ste 131
Cincinnati, OH 45241-4013
Phone
(513) 501-4761
Fax
(888) 652-1139
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1700449 OH Primary

Addresses

Primary practice location

4010 Executive Park Dr Ste 131
Cincinnati, OH 45241-4013

Mailing address

PO Box 221
Kings Mills, OH 45034-0221
Phone (513) 501-4761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2024 through Mar 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1700449OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Insights, LLC Professional CurrentSince Oct 1, 2021 Accepting new patients

Locations

4010 Executive Park Dr
Ste 131
Cincinnati, OH 45241
Phone (513) 501-4761

5721 Dragon Way
Ste 404
Cincinnati, OH 45227

Organizations & group practices 1

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1174038467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "KINGS MILLS",
            "state": "OH",
            "postal_code": "450340221",
            "telephone_number": "513-501-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 EXECUTIVE PARK DR STE 131",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414013",
            "telephone_number": "513-501-4761",
            "fax_number": "888-652-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "BEVERLEY",
        "middle_name": "SUE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.