Individual provider Active NPI

Lana Lynn Beasley, MA, LMHC

  • Mental Health Counselor
  • Cape Canaveral, FL
National Provider Identifier
1275675688
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5307 Issued in FL
Practice address
166 Center St Ste 239
Cape Canaveral, FL 32920-3717
Phone
(321) 267-2228
Fax
(866) 703-0035
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5307 FL Primary
Professional Counselor 101YP2500X MH5307 FL

Addresses

Primary practice location

166 Center St Ste 239
Cape Canaveral, FL 32920-3717

Mailing address

PO Box 1284
Cape Canaveral, FL 32920-1284
Phone (321) 267-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231205003270 FL Practitioner - Mental Health Counselor 3476902289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

166 Ctr St
Suite 239
Cape Canaveral, FL 32920-3717
Phone (321) 267-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH5307FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Counseling Center, Inc. Mental Health CurrentSince Nov 26, 2023 Accepting new patients

Locations

166 Center St
Ste 239
Cape Canaveral, FL 32920
Phone (321) 267-2228

3880 S Washington Ave
Ste 153
Titusville, FL 32780

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1275675688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329201284",
            "telephone_number": "321-267-2228",
            "fax_number": "866-703-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CENTER ST STE 239",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329203717",
            "telephone_number": "321-267-2228",
            "fax_number": "866-703-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "LANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5307",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH5307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Canaveral, FL

Sources for this page

Verify at the official NPI Registry.