Lisa Beam
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Monticello, NY
NPI 1457739419 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1457739419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 19456 (NY)
- Practice address
- 396 Broadway
Monticello, NY 12701-1157 - Phone
- (845) 794-8080
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Orange, Sullivan & Ulster | Past | Accepting new patients | |
| Catholic Charities of Orange, Sullivan & Ulster | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19456 | NY | Yes |
Addresses
Primary practice location
396 Broadway
Monticello, NY 12701-1157
Mailing address
396 Broadway
Monticello, NY 12701-1157
Other providers in Monticello, NY
- Jasper Raymond Tolentino Baena
- Kimberley Jean Baird
- Julie Ann Baran
- Reymond O Barreto
- Amy E Baxter
- Mary Beth Beauregard
- Adriann Beniquez
- Wayne L. Benson
- Ronald Berg
- Julia Lynn Berna
All providers in Monticello, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.