Active NPI
Elisa Beagle
- Mental Health Counselor
- Nashville, TN
National Provider Identifier
1720580079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76712
- Practice address
- 1212 Heron Pointe Dr
Nashville, TN 37214-2562 - Phone
- (713) 517-3086
- NPI assigned
- Mar 2, 2018
- Last updated
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76712 | TX | Primary |
Addresses
Primary practice location
1212 Heron Pointe Dr
Nashville, TN 37214-2562
Mailing address
1212 Heron Pointe Dr
Nashville, TN 37214-2562
Phone (713) 517-3086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76712 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76712 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1720580079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 HERON POINTE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142562",
"telephone_number": "713-517-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HERON POINTE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142562",
"telephone_number": "713-517-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAGLE",
"first_name": "ELISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76712",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.