Active NPI
Michelle Beyer
- Mental Health Counselor
- Waynesburg, PA
National Provider Identifier
1366614844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW123536
- Practice address
- 95 E High St
Suite 342
Waynesburg, PA 15370-1853 - Phone
- (877) 472-9466
- Fax
- (800) 398-6217
- NPI assigned
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW123536 | PA | Primary |
Addresses
Primary practice location
95 E High St
Suite 342
Waynesburg, PA 15370-1853
Mailing address
95 E High St
Suite 342
Waynesburg, PA 15370-1853
Phone (877) 472-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW123536 | Other | PA | PA STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW123536 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axiom Family Counseling Services, Inc | Mental Health | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Uniontown, PA
- NPI 1902933898
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1366614844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 E HIGH ST",
"address_2": "SUITE 342",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701853",
"telephone_number": "877-472-9466",
"fax_number": "800-398-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 E HIGH ST",
"address_2": "SUITE 342",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701853",
"telephone_number": "877-472-9466",
"fax_number": "800-398-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW123536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE",
"identifier": "SW123536",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.