Individual provider Active NPI

Beth Deskin

  • Mental Health Counselor
  • Granbury, TX
National Provider Identifier
1265013395
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86299 Issued in TX
Practice address
1540 Southtown Dr
Granbury, TX 76048-2682
Phone
(855) 579-5323
NPI assigned
Apr 20, 2021
Last updated
Nov 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15808 TX
Mental Health Counselor 101YM0800X 86299 TX Primary

Addresses

Primary practice location

1540 Southtown Dr
Granbury, TX 76048-2682

Mailing address

4520 Contrary Creek Rd
Granbury, TX 76048-6265
Phone (817) 559-4260

Other practice location 1

4520 Contrary Creek Rd
Granbury, TX 76048-6265
Phone (817) 559-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125000932 TX Practitioner - Mental Health Counselor 8628421757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians

Practice addresses (Care Compare)

675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15808TXMDAddiction (Substance Use Disorder) Counselor
86299TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Addiction (Substance Use Disorder) CurrentSince Oct 17, 2025 Accepting new patients

Locations

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1265013395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CONTRARY CREEK RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486265",
            "telephone_number": "817-559-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SOUTHTOWN DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482682",
            "telephone_number": "855-579-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Contrary Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760486265",
            "country_code": "US",
            "telephone_number": "817-559-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESKIN",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15808",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.