Organization Active NPI

Beach Stone Counseling

  • Community/Behavioral Health Agency
  • Pompano Beach, FL
National Provider Identifier
1235664368
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17-00092519 Issued in FL
Legal business name
BEACH STONE COUNSELING
Practice address
2641 E Atlantic Blvd Ste 308
Pompano Beach, FL 33062-4979
Phone
(754) 300-6127
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mr. Mathew Jean, LMFT
Title
Therapist
Phone
(305) 522-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17-00092519 FL Primary

Addresses

Primary practice location

2641 E Atlantic Blvd Ste 308
Pompano Beach, FL 33062-4979

Mailing address

2641 E Atlantic Blvd Ste 308
Pompano Beach, FL 33062-4979
Phone (754) 300-6127

National Provider Directory

National Provider Directory

Locations

2641 E Atlantic Blvd
Ste 308
Pompano Beach, FL 33062
Phone (754) 300-6127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1235664368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 E ATLANTIC BLVD STE 308",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624979",
            "telephone_number": "754-300-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 E ATLANTIC BLVD STE 308",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624979",
            "telephone_number": "754-300-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH STONE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "305-522-5105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "17-00092519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.