Active NPI
Eva Michelle Beeker, LPCC (ND) LPC (MN)
- Professional Counselor
- Grand Forks, ND
National Provider Identifier
1477894285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 983-11-15-18-401
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02450 | MN | MD | Professional 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.