Enjoli N Beasley

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4285 N Valentine Ave
Fresno, CA 93722-4148

Phone

(559) 241-0955

NPI assigned

Jan 22, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Golden State Family Services, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1639482557
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497229629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 N VALENTINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224148",
            "telephone_number": "559-241-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 N VALENTINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224148",
            "telephone_number": "559-241-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ENJOLI",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "101Y00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Rose Beard, BHSH,SC CADC, MMHCPS
• Jamie Bearden
• Kimberly E Bearden
• Andrew McDonald Beasley, LMFT
• Corina Beasley
• Jonathan Beasley
• Kristin Lee Beasley
• Joanne Beattie, PMHNP-BC
• Kathy Louise Beatty
• Isabelle Soleil Beaudoin

• Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.