Individual provider Active NPI

Barbara Ann Bean-Runyon, LCSW

  • Mental Health Counselor
  • Vacaville, CA
National Provider Identifier
1437201068
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS21093 Issued in CA
Practice address
190 S Orchard Ave
Vacaville, CA 95688-3647
Phone
(707) 567-1189
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS21093 CA Primary

Addresses

Primary practice location

190 S Orchard Ave
Vacaville, CA 95688-3647

Mailing address

837 West I St.
Benicia, CA 94510-4604
Phone (707) 567-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000330 CA Practitioner - Clinical Social Worker 8123214061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

190 S Orchard
Suite C230
Vacaville, CA 95688-4602
Phone (707) 567-1189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS21093CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
C.I.P.G.a.-Licensed Clinical Social Worker Inc. Prof. Corp. CurrentSince Aug 31, 2010 Accepting new patients

Locations

419 Elizabeth St
Ste 1
Vacaville, CA 95688
Phone (707) 372-0345

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1437201068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 WEST I ST.",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945104604",
            "telephone_number": "707-567-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S ORCHARD AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883647",
            "telephone_number": "707-567-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN-RUNYON",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS21093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.