Individual provider Active NPI

Lorraine Ann Balek-Beeson, LPCC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1316579998
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4057 Issued in CA
Practice address
Reproductive Mental Health
11838 Bernardo Plaza CT #250,
San Diego, CA 92128-9212
Phone
(858) 367-3622
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4057 CA Primary

Addresses

Primary practice location

Reproductive Mental Health
11838 Bernardo Plaza CT #250,
San Diego, CA 92128-9212

Mailing address

630 Gardenia GLN
Escondido, CA 92025-7901
Phone (760) 793-1090

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

State licenses

LicenseStateTypeSpecialty
4057CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Mental Health and Wellness Licensed Clinical Social Worke PastSince Feb 16, 2020 Accepting new patients

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1316579998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 GARDENIA GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920257901",
            "telephone_number": "760-793-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPRODUCTIVE MENTAL HEALTH",
            "address_2": "11838 BERNARDO PLAZA CT #250,",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921289212",
            "telephone_number": "858-367-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALEK-BEESON",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.