Active NPI
Robert K. Beare Jr., MA, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1306083043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14075
- Practice address
- 2121 Dickson Dr Apt 149
Austin, TX 78704-4787 - Phone
- (512) 803-9038
- NPI assigned
- Jan 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14075 | TX | |
| Professional Counselor | 101YP2500X | 14075 | TX | Primary |
Addresses
Primary practice location
2121 Dickson Dr Apt 149
Austin, TX 78704-4787
Mailing address
2121 Dickson Dr Apt 149
Austin, TX 78704-4787
Phone (512) 803-9038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14075 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1306083043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 DICKSON DR APT 149",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044787",
"telephone_number": "512-803-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 DICKSON DR APT 149",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044787",
"telephone_number": "512-803-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARE",
"first_name": "ROBERT",
"middle_name": "K.",
"name_suffix": "Jr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-16",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14075",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.