Beverly Bearden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4402 Issued in NC

Practice address

620 Lynndale CT Ste a
Greenville, NC 27858-5462

Phone

(252) 756-3433

Fax

(252) 756-7533

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Beverly Bearden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1710052717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585462",
            "telephone_number": "252-756-3433",
            "fax_number": "252-756-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE CT STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585462",
            "telephone_number": "252-756-3433",
            "fax_number": "252-756-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "BEVERLY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E2338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "BEARDEN",
            "prefix": "MRS.",
            "credential": "MS, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Randy Beale, CADC
• Kristin Peck Beam, PT
• Casey Beaman, CSFA
• Kelly A Bear, DO
• Ashton Elizabeth Beard, FNP
• Courtney Aileen Beasley, PT, DPT
• Harley S Beasley, MD
• Beaute Par Co
• William Jefferson Beavers, MD
• Gonzalo Daniel Becerra, M.D.

• Professional Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.