Active NPI
Evette Dejon Bean, PLPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1457586372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2008037622
- Practice address
- 1524 Estrada Dr
Apt 11
Saint Louis, MO 63138-2274 - Phone
- (314) 691-7738
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008037622 | MO | MD | Professional Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008037622 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1524 Estrada Dr
Apt 11
Saint Louis, MO 63138-2274
Mailing address
1524 Estrada Dr
Apt 11
Saint Louis, MO 63138-2274
Phone (314) 691-7738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2009.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1457586372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ESTRADA DR",
"address_2": "APT 11",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631382274",
"telephone_number": "314-691-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ESTRADA DR",
"address_2": "APT 11",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631382274",
"telephone_number": "314-691-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "EVETTE",
"middle_name": "DEJON",
"name_prefix": "Mrs.",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2008037622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.