Organization Active NPI

Gail Eaves

Doing business as Brookdell & Beck Counseling Service

  • Community/Behavioral Health Agency
  • Eden, NC
National Provider Identifier
1649762642
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Gail Eaves Price, LCMHCNPI 1134393440
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.