Individual provider Active NPI

Anna Teresa Beeker

  • Behavior Analyst
  • Warren, OH
National Provider Identifier
1639668270
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
430 Franklin St SE
Warren, OH 44483-5715
Phone
(330) 372-2200
NPI assigned
May 9, 2018
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103200-TRNE OH
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

430 Franklin St SE
Warren, OH 44483-5715

Mailing address

1703 Roberts LN NE
Warren, OH 44483-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002342 OH Practitioner - Mental Health Counselor 7315446275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildwood Counseling Services LLCGroup PAC ID 8921548736, 4 clinicians

Practice addresses (Care Compare)

3454 Oak Alley CT
Suite 209
Toledo, OH 43606-1370
Phone (419) 405-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103200-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reineck LLC Mental Health CurrentSince Jun 6, 2025 Accepting new patients
Wildwood Counseling Services LLC Mental Health CurrentSince Jun 6, 2025 Accepting new patients
Greentree Counseling Center PastSince Jan 26, 2022 Accepting new patients
Greentree Counseling Center Inc Mental Health PastSince Jan 26, 2022 Accepting new patients

Locations

3454 Oak Alley Ct
Ste 209
Toledo, OH 43606
Phone (419) 405-1000

3454 Oak Alley Ct
Ste 505
Toledo, OH 43606
Phone (419) 405-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1639668270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 ROBERTS LN NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444833621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 FRANKLIN ST SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835715",
            "telephone_number": "330-372-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEKER",
        "first_name": "ANNA",
        "middle_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103200-TRNE",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.