Organization Active NPI

Beasley Counseling

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1861981706
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19425 Issued in MN
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

Updated by the provider on Nov 9, 2018

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.