Individual provider Active NPI

Beulah Felty, CDCA.184727

  • Addiction (Substance Use Disorder) Counselor
  • Coal Grove, OH
National Provider Identifier
1477224640
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.184727 Issued in OH
Practice address
323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone
(740) 237-4981
Fax
(877) 325-2816
NPI assigned
Sep 27, 2021
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.184727 OH Primary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Mailing address

186 Stanley St
Coal Grove, OH 45638-3148
Phone (740) 237-4981

Other practice location 1

186 Stanley St
Coal Grove, OH 45638-3148
Phone (740) 237-4981

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

LicenseStateTypeSpecialty
CDCA.184727OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Recovery, LLC Mental Health CurrentSince Oct 13, 2024 Accepting new patients
United Family Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Oct 13, 2024 Accepting new patients

Locations

323 Marion Pike
Ste 1
Ironton, OH 45638
Phone (740) 237-4981

Interoperability endpoints

  • Direct secure messaging: beulah.felty.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1477224640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 STANLEY ST",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383148",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Stanley St",
            "address_purpose": "LOCATION",
            "city": "Coal Grove",
            "state": "OH",
            "postal_code": "456383148",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "fax_number": "877-325-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTY",
        "first_name": "BEULAH",
        "credential": "CDCA.184727",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.184727",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.