Beverly Ann Canady
Individual provider Active NPI Professional Counselor · Orange, NJ
NPI 1669010948 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1669010948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PCOO346100 (NJ)
- Practice address
- 116 Main St
Orange, NJ 07050-4059 - Phone
- (973) 214-0720
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PCOO346100 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PCOO346100 | NJ | Yes |
Addresses
Primary practice location
116 Main St
Orange, NJ 07050-4059
Mailing address
106 Lyons Ave
Newark, NJ 07112-2239
Phone (973) 214-4072
Other providers in Orange, NJ
- Sherry Caesar
- Dominique Cajuste
- Geraldine Calixte-Starks
- Call to Care LLC
- Garcia Campbell
- Swhendhy Cantave
- Kevin Raymond Capriolo
- Clifford Caraway
- Care Deeply
- Careful Hearts Services
All providers in Orange, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.