Individual provider Active NPI

Amy Irene Ralston-Beike, LPC, MS

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1548283963
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC13118 Issued in AZ
Practice address
3125 W Durango St
Phoenix, AZ 85009-6217
Phone
(602) 506-0447
Fax
(602) 372-4800
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 5089-T AZ
Professional Counselor 101YP2500X LPC13118 AZ Primary

Addresses

Primary practice location

3125 W Durango St
Phoenix, AZ 85009-6217

Mailing address

Chandler United School District/Hill Learning Academy
290 S. Cooper Rd
Chandler, AZ 85225
Phone (480) 812-7166

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
Master of Science

State licenses

LicenseStateTypeSpecialty
5089-TAZMDProfessional Counselor
LPC13118AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1548283963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHANDLER UNITED SCHOOL DISTRICT/HILL LEARNING ACADEMY",
            "address_2": "290 S. COOPER RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-812-7166",
            "fax_number": "602-372-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 W DURANGO ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096217",
            "telephone_number": "602-506-0447",
            "fax_number": "602-372-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON-BEIKE",
        "first_name": "AMY",
        "middle_name": "IRENE",
        "credential": "LPC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "5089-T",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.