Organization Active NPI

Beasley Family Therapy Services, LLC

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1326524208
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEASLEY FAMILY THERAPY SERVICES, LLC
Practice address
124 Pearl St Ste 304
Ypsilanti, MI 48197-2663
Phone
(734) 719-0448
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Mr. Anthany J Beasley, LMSW
Title
Owner
Phone
(734) 719-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

124 Pearl St Ste 304
Ypsilanti, MI 48197-2663

Mailing address

1175 Jay Ave
Ypsilanti, MI 48198-6462
Phone (734) 719-0448

National Provider Directory

National Provider Directory

Locations

124 Pearl St
Ste 306
Ypsilanti, MI 48197
Phone (734) 219-9361

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1326524208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 JAY AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986462",
            "telephone_number": "734-719-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 304",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972663",
            "telephone_number": "734-719-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEASLEY FAMILY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "ANTHANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-719-0448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.