Individual provider Active NPI

Rhiannon Charlene Beauregard, LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1588890255
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202341 Issued in TX
Practice address
2310 W 9TH St
Unit 1
Austin, TX 78703-4327
Phone
(603) 770-5099
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000735-1 NY
Marriage & Family Therapist 106H00000X 1402 MA
Marriage & Family Therapist 106H00000X 142 NH
Marriage & Family Therapist 106H00000X 202341 TX Primary
Marriage & Family Therapist 106H00000X MF3815 ME

Addresses

Primary practice location

2310 W 9TH St
Unit 1
Austin, TX 78703-4327

Mailing address

2310 W 9TH St
Unit 1
Austin, TX 78703-4327
Phone (603) 770-5099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 17, 2024 through Jun 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF3815MEMDMarriage & Family Therapist
000735-1NYMDMarriage & Family Therapist
202341TXMDMarriage & Family Therapist
142NHMDPhysical Therapist
1402MAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1588890255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W 9TH ST",
            "address_2": "UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034327",
            "telephone_number": "603-770-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W 9TH ST",
            "address_2": "UNIT 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034327",
            "telephone_number": "603-770-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "RHIANNON",
        "middle_name": "CHARLENE",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000735-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "142",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202341",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ME",
            "license": "MF3815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.