Active NPI
Bea Raymond, MS, LPC
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1194998740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-10601
- Practice address
- 5022 N 54TH Ave
Suite 4
Glendale, AZ 85301-7531 - Phone
- (623) 931-4343
- NPI assigned
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-10601 | AZ | Primary |
Addresses
Primary practice location
5022 N 54TH Ave
Suite 4
Glendale, AZ 85301-7531
Mailing address
5022 N 54TH Ave
Suite 4
Glendale, AZ 85301-7531
Phone (623) 931-4343
Other names 1
- Beatrice Chrisley Raymond
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-10601 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1194998740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 N 54TH AVE",
"address_2": "SUITE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017531",
"telephone_number": "623-931-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 N 54TH AVE",
"address_2": "SUITE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017531",
"telephone_number": "623-931-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "BEA",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-10601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATRICE",
"last_name": "RAYMOND",
"middle_name": "CHRISLEY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.