David Beasley, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9493 Issued in FL

Practice address

408 W University Ave
Ste 401a
Gainesville, FL 32601-3248

Phone

(352) 281-3428

Fax

(855) 859-1701

NPI assigned

Oct 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1649570656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W UNIVERSITY AVE",
            "address_2": "STE 401A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013248",
            "telephone_number": "352-281-3428",
            "fax_number": "855-859-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W UNIVERSITY AVE",
            "address_2": "STE 401A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013248",
            "telephone_number": "352-281-3428",
            "fax_number": "855-859-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH9493",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH9493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002547700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Michael Bean, ARNP
• Brandi Marie Bearce, RPSGT
• Erin Beard
• Jason Beardsley, PTA
• Kristi Bears, MD
• Genie Lynn Kahn Beasley, MD
• Sara Beasley, RDN, LD
• Elhaine N. Beato, DDS
• Danielle Marie Beatty, OT/L
• David E. Beatty, LCSW

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Oct 30, 2013; 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.