Individual provider Active NPI

Matthew Samuel Beal, LPC

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1770817918
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11761 Issued in NC
Practice address
609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825
Phone
(704) 208-1865
NPI assigned
Sep 21, 2009
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11761 NC Primary
Professional Counselor 101YP2500X 68207 TX

Addresses

Primary practice location

609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825

Mailing address

124 S Toney St
Shelby, NC 28152-7735
Phone (254) 251-0060

Other practice location 1

124 S Toney St
Shelby, NC 28152-7735
Phone (254) 251-0060

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

LicenseStateTypeSpecialty
11761NCMDMental Health Counselor
68207TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling and Wellness LLC Professional CurrentSince Jun 5, 2020 Accepting new patients

Locations

609 S New Hope Rd
Ste 102
Gastonia, NC 28054
Phone (704) 208-1865

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1770817918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S TONEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527735",
            "telephone_number": "254-251-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 102",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544825",
            "telephone_number": "704-208-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 S Toney St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281527735",
            "country_code": "US",
            "telephone_number": "254-251-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAL",
        "first_name": "MATTHEW",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11761",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.