Individual provider Active NPI

Eva Michelle Beeker, LPCC (ND) LPC (MN)

  • Professional Counselor
  • Grand Forks, ND
National Provider Identifier
1477894285
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
983-11-15-18-401 Issued in ND
Practice address
McCannel Hall Room 200
2891 2ND Ave N Stop 9042
Grand Forks, ND 58202-0798
Phone
(701) 777-2127
NPI assigned
Mar 5, 2013
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 02450 MN
Professional Counselor 101YP2500X 983-11-15-18-401 ND Primary

Addresses

Primary practice location

McCannel Hall Room 200
2891 2ND Ave N Stop 9042
Grand Forks, ND 58202-0798

Mailing address

McCannel Hall Room 200
2891 2ND Ave N Stop 9042
Grand Forks, ND 58202-0798
Phone (701) 777-2127

Other practice location 1

158 Academy Drive
Greenbrier Academy for Girls
Pence Springs, WV 24962
Phone (304) 445-7790

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
02450MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1477894285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL ROOM 200",
            "address_2": "2891 2ND AVE N STOP 9042",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582020798",
            "telephone_number": "701-777-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCCANNEL HALL ROOM 200",
            "address_2": "2891 2ND AVE N STOP 9042",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582020798",
            "telephone_number": "701-777-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Academy Drive",
            "address_2": "Greenbrier Academy for Girls",
            "address_purpose": "LOCATION",
            "city": "Pence Springs",
            "state": "WV",
            "postal_code": "24962",
            "country_code": "US",
            "telephone_number": "304-445-7790",
            "fax_number": "866-362-2792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEKER",
        "first_name": "EVA",
        "middle_name": "MICHELLE",
        "credential": "LPCC (ND) LPC (MN)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02450",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "983-11-15-18-401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.