Active NPI
Gail Eaves
Doing business as Brookdell & Beck Counseling Service
- Community/Behavioral Health Agency
- Eden, NC
National Provider Identifier
1649762642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GAIL EAVES
- Doing business as
- Brookdell & Beck Counseling Service
- Practice address
- 905 Irving Ave
Eden, NC 27288-5509 - Phone
- (336) 432-7400
- Fax
- (336) 627-3939
- NPI assigned
- Jun 5, 2018
- Last updated
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gail Eaves Price, LCMHC
- Title
- Owner
- Phone
- (336) 432-7400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
905 Irving Ave
Eden, NC 27288-5509
Mailing address
904 Irving Ave
Eden, NC 27288-5510
Phone (336) 432-7400
Other names 1
- Brookdell & Beck Counseling Service
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1649762642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 IRVING AVE",
"city": "EDEN",
"state": "NC",
"postal_code": "272885510",
"telephone_number": "336-432-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 IRVING AVE",
"city": "EDEN",
"state": "NC",
"postal_code": "272885509",
"telephone_number": "336-432-7400",
"fax_number": "336-627-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAIL EAVES",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "EAVES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-432-7400",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookdell & Beck Counseling Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.