Beyond the Couch, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9903 Issued in FL

Legal business name

BEYOND THE COUCH, LLC

Practice address

516 S 10TH St Ste 119
Fernandina Beach, FL 32034-3511

Phone

(904) 863-6746

Fax

(347) 412-5958

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Julie Diane Eberwein, PHD., LMHC, CAPNPI 1295972313

Title

Co-Founder

Phone

(904) 863-6746

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie D Eberwein, PHD

  • Addiction (Substance Use Disorder) Counselor
  • Fernandina Beach, FL
  • NPI 1295972313

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1629564489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15905",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353116",
            "telephone_number": "904-863-6746",
            "fax_number": "347-412-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S 10TH ST STE 119",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343511",
            "telephone_number": "904-863-6746",
            "fax_number": "347-412-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE COUCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "EBERWEIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "904-863-6746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9903",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001116400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin A Beck, MD
• Sharon Belcher, ARNP
• Benjamin N. Diller, DDS, PA
• Scott R Bergquist
• Joshua R Beyl
• Kimberly H Bibb, APRN
• Ernest Paul Bicknell III, PSYD
• Joshua Owen Bietenholz, D.M.D.
• Bio-Medical Applications of Florida, Inc.
• Anna Rene' Morris Blackshear, LMHC

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.