Active NPI
Jennifer Lynn Beam
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 55630
- Practice address
- 1301 Riverside Ave
Fort Collins, CO 80524-4374 - Phone
- (307) 630-4729
- NPI assigned
- Nov 1, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.1000206-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 55630 | WY | Primary |
Addresses
Primary practice location
1301 Riverside Ave
Fort Collins, CO 80524-4374
Mailing address
PO Box 20092
Cheyenne, WY 82003-7002
Phone (307) 630-4729
Other practice location 1
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070
2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729
Hospital & facility affiliations
- Cheyenne Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liv in-Home Counseling & Care Management, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Liv in-Home Counseling & Care Management, LLC | Past | Accepting new patients |
Locations
1301 Riverside Ave
Fort Collins, CO 80524
Phone (970) 482-3680
6631 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 277-0652
2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Cheyenne, WY
- NPI 1740604057
CO, Psychiatric/Mental Health
-
- Adult Mental Health Clinic/Center
- Casper, WY
- NPI 1952268484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1720801491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20092",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037002",
"telephone_number": "307-630-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244374",
"telephone_number": "307-630-4729"
}
],
"practiceLocations": [
{
"address_1": "2500 Dell Range Blvd",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820095273",
"country_code": "US",
"telephone_number": "307-630-4729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAM",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.1000206-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WY",
"license": "55630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.