Timothy Beasley, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2307015 Issued in AR

Practice address

2408 S 51St CT Ste G
Fort Smith, AR 72903-3666

Phone

(479) 323-2424

NPI assigned

Jul 27, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1831870336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 YORKTOWN CIR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035136",
            "telephone_number": "479-629-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 S 51ST CT STE G",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033666",
            "telephone_number": "479-323-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2307015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Scott Beallis, DO
• Laurie Ann Beam, APRN
• Paul E Bean, MD
• David J Beare, PHD
• Stephanie Louise Beasley
• Pearl Beason, LPC
• Beau Sparkman D.D.S., P.a.
• Hans Beauvoir, LMT
• Heather Beauvoir, LMT, IANMT, ESTI
• Bradley David Becker, D.D.S.

• All providers in Fort Smith, AR
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.