Individual provider Active NPI

Barbara Lynn Beach, L.P.C., NCC

  • Counseling Psychologist
  • Fort Collins, CO
National Provider Identifier
1356677090
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3904 Issued in CO
Practice address
19 Old Town SQ
Suite 238
Fort Collins, CO 80524-2471
Phone
(970) 217-7124
Fax
(970) 224-5674
NPI assigned
Oct 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3904 CO Primary

Addresses

Primary practice location

19 Old Town SQ
Suite 238
Fort Collins, CO 80524-2471

Mailing address

980 Deer Meadow Way
Livermore, CO 80536-9505
Phone (970) 217-7124

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
3904COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256947200000",
    "number": "1356677090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 DEER MEADOW WAY",
            "city": "LIVERMORE",
            "state": "CO",
            "postal_code": "805369505",
            "telephone_number": "970-217-7124",
            "fax_number": "970-224-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD TOWN SQ",
            "address_2": "SUITE 238",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242471",
            "telephone_number": "970-217-7124",
            "fax_number": "970-224-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.P.C., NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.