Beverly Jean Anderson, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4552 Issued in NC

Practice address

101 Cloister CT
Suite E
Chapel Hill, NC 27514-2207

Phone

(919) 408-3212

Fax

(919) 408-3306

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Center for Psychological & Family Services Inc

  • Psychologist
  • Chapel Hill, NC
  • NPI 1023141611
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215058698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLOISTER CT",
            "address_2": "SUITE E",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142207",
            "telephone_number": "919-408-3212",
            "fax_number": "919-408-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLOISTER CT",
            "address_2": "SUITE E",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142207",
            "telephone_number": "919-408-3212",
            "fax_number": "919-408-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Kernodle Anders, M.D.
• Jane Elizabeth Andersen, DPM
• Stephanie L. Anderson-Ladd, MFT
• Anne Anderson
• Avery Anderson, RDN
• Emily Carter Anderson, MD
• Jay A. Anderson, DDS, MD
• Jeffrey A Anderson, MD
• Jessica Nicole Anderson, DPT
• Meredith Anderson, AU.D.

• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.