Individual provider Active NPI

Kristy Beavers

  • Mental Health Counselor
  • New Orleans, LA
National Provider Identifier
1285186122
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2115 Carondelet St
New Orleans, LA 70130-5827
Phone
(504) 371-5512
NPI assigned
Oct 26, 2016
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

2115 Carondelet St
New Orleans, LA 70130-5827

Mailing address

2115 Carondelet St
New Orleans, LA 70130-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250912002304 LA Practitioner - Mental Health Counselor 4284137472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 770
Zachary, LA 70791

PO Box
Suite 770
Zachary, LA 70791-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5830LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Jul 14, 2025 Accepting new patients
Southeast Community Health Systems CurrentSince Jul 14, 2025 Accepting new patients
Josienne P Goodrow, LLC PastSince Apr 26, 2020 Accepting new patients
New Horizons Youth Service Bureau, Inc. Past Accepting new patients

Locations

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

Organizations & group practices 4

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1285186122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CARONDELET ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CARONDELET ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305827",
            "telephone_number": "504-371-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "KRISTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.