Solange F Beevers, MS, LCPC

Individual provider Active NPI Professional Counselor · Reno, NV

NPI 1326318601 · NPPES record last updated May 3, 2023

Key facts

NPI
1326318601
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CP5392 (NV)
Practice address
255 N Sierra St Unit 1115
Reno, NV 89501-1368
Phone
(415) 424-4266
Fax
(415) 520-6633
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP5392NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Services USA Past
since May 7, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP5392 NV Yes

Addresses

Primary practice location

255 N Sierra St Unit 1115
Reno, NV 89501-1368

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266

Other practice location 1

7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone (702) 884-4049

Other identifiers

IdentifierTypeStateIssuer
100526205MedicaidNV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2023.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1326318601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ESTERS BLVD STE 900",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632233",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N SIERRA ST UNIT 1115",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011368",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Laredo St Ste K",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173044",
            "country_code": "US",
            "telephone_number": "702-884-4049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEVERS",
        "first_name": "SOLANGE",
        "middle_name": "F",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100526205",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

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Sources for this page

Verify at the official NPI Registry.