Active NPI
Dawn R Beatty-Taylor, MC, LPC, CTNC
- Professional Counselor
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10886
- Practice address
- 4111 E Valley Auto Dr
Suite 201D
Mesa, AZ 85206-4605 - Phone
- (480) 775-3528
- Fax
- (480) 813-2987
- NPI assigned
- Sep 21, 2006
- Last updated
- Jan 20, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-10886 | AZ | Primary |
Addresses
Primary practice location
4111 E Valley Auto Dr
Suite 201D
Mesa, AZ 85206-4605
Mailing address
603 N Rosemont Cir
Mesa, AZ 85205-6427
Phone (480) 775-3528
Other practice location 1
603 N Rosemont Cir
Mesa, AZ 85205-6427
Phone (480) 775-3528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4111 E Valley Auto Dr
Suite 201
Mesa, AZ 85206-4609
Phone (480) 775-3528
603 N Rosemont Cir
Mesa, AZ 85205-6427
Phone (480) 775-3528
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenis Associates, LLC | Professional | Current | Accepting new patients |
Locations
4111 E Valley Auto Dr
Ste 201
Mesa, AZ 85206
Phone (480) 608-5250
4111 E Valley Auto Dr
Ste 201D
Mesa, AZ 85206
Phone (480) 775-3528
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1750480257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N ROSEMONT CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852056427",
"telephone_number": "480-775-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR",
"address_2": "SUITE 201D",
"city": "MESA",
"state": "AZ",
"postal_code": "852064605",
"telephone_number": "480-775-3528",
"fax_number": "480-813-2987"
}
],
"practiceLocations": [
{
"address_1": "603 N Rosemont Cir",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852056427",
"country_code": "US",
"telephone_number": "480-775-3528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEATTY-TAYLOR",
"first_name": "DAWN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MC, LPC, CTNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-10886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.