Individual provider Active NPI

Barbara Jean Beeler, PH.D

  • Counselor
  • Jonesboro, GA
National Provider Identifier
1508112269
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
05031348 Issued in GA
Practice address
8955 Fayetteville Rd
Jonesboro, GA 30238-4815
Phone
(770) 961-3799
Fax
(404) 592-5507
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 05031348 GA Primary
Pastoral Counselor 101YP1600X BE75208 FL

Addresses

Primary practice location

8955 Fayetteville Rd
Jonesboro, GA 30238-4815

Mailing address

8955 Fayetteville Rd
Jonesboro, GA 30238-4815
Phone (770) 961-3799

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05031348GAMDCounselor
BE75208FLMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1508112269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 FAYETTEVILLE RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384815",
            "telephone_number": "770-961-3799",
            "fax_number": "404-592-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 FAYETTEVILLE RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384815",
            "telephone_number": "770-961-3799",
            "fax_number": "404-592-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELER",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "05031348",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "BE75208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.