Active NPI
Beasley Counseling
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1861981706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19425
- Legal business name
- BEASLEY COUNSELING
- Practice address
- 4749 Chicago Ave Ste 2D
Minneapolis, MN 55407-4181 - Phone
- (612) 440-5645
- NPI assigned
- May 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abigail Beasley
- Title
- Therapist
- Phone
- (503) 267-7292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19425 | MN | Primary |
Addresses
Primary practice location
4749 Chicago Ave Ste 2D
Minneapolis, MN 55407-4181
Mailing address
4115 Pleasant Ave
Minneapolis, MN 55409-1546
Phone (503) 267-7292
National Provider Directory
National Provider DirectoryLocations
4749 Chicago Ave
Ste 2D
Minneapolis, MN 55407
Phone (612) 217-1889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541721600000",
"number": "1861981706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 PLEASANT AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091546",
"telephone_number": "503-267-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 CHICAGO AVE STE 2D",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554074181",
"telephone_number": "612-440-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEASLEY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-07",
"last_updated": "2018-11-09",
"status": "A",
"authorized_official_last_name": "BEASLEY",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "503-267-7292"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.