Individual provider Active NPI

Nicholas Beard, LPC

  • Counselor
  • Lake Havasu City, AZ
National Provider Identifier
1295212660
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-17438 Issued in AZ
Practice address
1940 Mesquite Ave Ste O
Lake Havasu City, AZ 86403-6123
Phone
(928) 732-0470
Fax
(928) 756-0580
NPI assigned
Jul 27, 2018
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-17438 AZ Primary
Professional Counselor 101YP2500X 89525 TX

Addresses

Primary practice location

1940 Mesquite Ave Ste O
Lake Havasu City, AZ 86403-6123

Mailing address

1940 Mesquite Ave Ste O
Lake Havasu City, AZ 86403-6123
Phone (928) 732-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241015002595 AZ Practitioner - Mental Health Counselor 6507398567 Reassigns benefits to 1 organization
I20241020000053 TX Practitioner - Mental Health Counselor 6507398567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Sep 11, 2024 Accepting new patients
Havasu Behavioral Health, LLC PastSince Aug 11, 2019 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1295212660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 MESQUITE AVE STE O",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036123",
            "telephone_number": "928-732-0470",
            "fax_number": "928-756-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 MESQUITE AVE STE O",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036123",
            "telephone_number": "928-732-0470",
            "fax_number": "928-756-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "NICHOLAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-17438",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.