Individual provider Active NPI

Angela B Beasley, LPC

  • Professional Counselor
  • Metairie, LA
National Provider Identifier
1891501581
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9232 Issued in LA
Practice address
2321 N Hullen St Ste B
Metairie, LA 70001-6917
Phone
(504) 941-7580
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9232 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 9232 LA
Professional Counselor 101YP2500X 9232 LA Primary

Addresses

Primary practice location

2321 N Hullen St Ste B
Metairie, LA 70001-6917

Mailing address

6429 Rue Louis Phillipe
Marrero, LA 70072-4711
Phone (504) 813-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303001458 LA Practitioner - Mental Health Counselor 9234667791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Care Centers, IncGroup PAC ID 7911961115, 17 clinicians

Practice addresses (Care Compare)

3932 Hwy 90 W
Avondale, LA 70094-2648
Phone (504) 436-2223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9232LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Counseling and Educational Resources, LLC CurrentSince Jan 3, 2025 Accepting new patients
Addiction Counseling and Educational Resources, LLC CurrentSince Jan 3, 2025 Accepting new patients
Jefferson Community Health Care Centers, Inc Past Accepting new patients

Locations

2321 N Hullen St
Ste B
Metairie, LA 70001
Phone (504) 885-4327

115 Christian Ln
Slidell, LA 70458
Phone (985) 690-6622

Interoperability endpoints

  • Direct secure messaging: angela.beasley.1@12324.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1891501581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 RUE LOUIS PHILLIPE",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724711",
            "telephone_number": "504-813-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N HULLEN ST STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016917",
            "telephone_number": "504-941-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ANGELA",
        "middle_name": "B",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "9232",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "9232",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.