Connie Denise Beard

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5813 Mayfield Rd Ste 203
Cleveland, OH 44124-2937

Phone

(216) 401-6564

NPI assigned

May 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upstar Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayfield Heights, OH
  • NPI 1407537871

  Mental Health (Including Community Mental Health Center)

  NPD
• Upstar Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Mayfield Heights, OH
  • NPI 1578298550

  Mental Health (Including Community Mental Health Center)

  NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1699466706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "216-401-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 203",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "216-401-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CONNIE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Beal
• Brett Beamer
• Janay Beamer
• Nicholas Frederick Bean, MD
• Anthony Steven Beard, RDN
• George Edward Beard Jr., B.S
• Marcus Beard
• Tabitha Bearden
• Kathleen Bearfield
• Robert John Bearss, CRNA

• All providers in Cleveland, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.