Beech Street Therapy Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008601 Issued in PA

Legal business name

BEECH STREET THERAPY CENTER, LLC

Practice address

20 Beech St Ste a
Carlisle, PA 17013-3105

Phone

(717) 262-3833

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Merideth, LPC

Title

Licensed Professional Counselor

Phone

(717) 262-3833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1891213088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEECH ST STE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133105",
            "telephone_number": "717-262-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEECH ST STE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133105",
            "telephone_number": "717-262-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH STREET THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "MERIDETH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "717-262-3833",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Eugene Bechtel, DPT
• Taneka Beck, MSW, LSW
• Lydia Becker
• Erin Lynn Beebe, LSW
• Beech Street Program, LLC
• Behavior Speaks ABA LLC
• Babak Behta, MD
• Belvedere Medical Corporation
• Belvedere Medical Corporation
• Belvedere Medical Corporation

• Professional Counselor in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.