NPIMap

Organization Active NPI

Beach Counseling, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
National Provider Identifier
1689162547
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
BEACH COUNSELING, LLC
Practice address
2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Phone
(757) 630-0616
NPI assigned
Apr 26, 2018
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Mrs. Laurie Beth Dierstein, LCSWNPI 1922463306
Title
Owner/Therapist
Phone
(757) 630-7721

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X Primary

Addresses

Primary practice location

2528 Las Brisas Dr
Virginia Beach, VA 23456-4264

Mailing address

2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Phone (757) 630-7721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180911001900 VA Part B Supplier - Clinic/Group Practice 7012267172 Receives reassigned benefits from 8 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

2105 Princess Anne Rd
Ste 102
Virginia Beach, VA 23456
Phone (757) 301-6985

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1689162547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 LAS BRISAS DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564264",
            "telephone_number": "757-630-7721",
            "fax_number": "757-689-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 LAS BRISAS DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564264",
            "telephone_number": "757-630-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "DIERSTEIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "757-630-7721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.