Connie Beard, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11185 Issued in TX

Practice address

1002 Texas Blvd
Suite 320
Texarkana, TX 75501-5107

Phone

(903) 831-7585

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1720357346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6800",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756086800",
            "telephone_number": "903-758-2471",
            "fax_number": "903-234-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD",
            "address_2": "SUITE 320",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015107",
            "telephone_number": "903-831-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R. Baugh Jr., MD
• Miranda Lynn Baugh, CFNP
• Tiffany Anne Baugus, FNP
• Ramneesh Baweja, MD
• Lisa Diane Beamer
• Brooklynn Bearden, M.S. C.F.-SLP
• Shannon Rene Bearden, FNP
• Everett Lee Beatty, HIS
• William Beaty, M.D.
• Jeaninne Carole Beck, PTA

• Addiction (Substance Use Disorder) Counselor in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.