NPIMap

Organization Active NPI

Wendy D Beam LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1366288607
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WENDY D BEAM LLC
Practice address
8539 Monroe Rd Ste 104
Charlotte, NC 28212-7510
Phone
(704) 771-6502
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mrs. Wendy Deshonn Beam, CPSS VETERAN, MBA
Title
Ceo
Phone
(704) 771-6502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8539 Monroe Rd Ste 104
Charlotte, NC 28212-7510

Mailing address

8539 Monroe Rd Ste 104
Charlotte, NC 28212-7510
Phone (704) 771-6502

Other names 2

  • A Community of Wellness Doing business as
  • Community Wellness Toolzz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Community of Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1366288607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 MONROE RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127510",
            "telephone_number": "704-771-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 MONROE RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127510",
            "telephone_number": "704-771-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY D BEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "DESHONN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-771-6502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPSS VETERAN, MBA"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Community of Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Community of Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Wellness Toolzz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.