Individual provider Active NPI

Haley Adair Roberts Beach, LCMHC, MA

  • Mental Health Counselor
  • Crawfordsville, IN
National Provider Identifier
1558057505
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88001895A Issued in IN
Practice address
6425 S US Highway 231
Crawfordsville, IN 47933-9487
Phone
(765) 376-4689
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88001895A IN Primary

Addresses

Primary practice location

6425 S US Highway 231
Crawfordsville, IN 47933-9487

Mailing address

6425 S US Highway 231
Crawfordsville, IN 47933-9487
Phone (765) 866-2023

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 Arts

State licenses

LicenseStateTypeSpecialty
88001895AINMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1558057505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 S US HIGHWAY 231",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339487",
            "telephone_number": "765-866-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 S US HIGHWAY 231",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339487",
            "telephone_number": "765-376-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS BEACH",
        "first_name": "HALEY",
        "middle_name": "ADAIR",
        "name_prefix": "Ms.",
        "credential": "LCMHC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.