Selina Beenen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10043 Issued in FL

Practice address

4300 Marsh Landing Blvd
Suite 204
Jacksonville Beach, FL 32250-1416

Phone

(904) 612-8807

NPI assigned

Sep 29, 2010

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

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

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beenen Counseling, LLCGroup PAC ID 2769661081, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Beenen Counseling, LLC

  dba Beenen Therapy Group

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1144525890
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1922317668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 BAREFOOT TRCE",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322336604",
            "telephone_number": "904-612-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501416",
            "telephone_number": "904-612-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENEN",
        "first_name": "SELINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaded Star Recovery,LLC
• Delilah Lynn Beall, PT, DPT
• Katherine Beck
• James Carberry Bedle, DC
• Beenen Counseling, LLC (Beenen Therapy Group)
• Behavioral Building Blocks of Florida LLC
• Behavioral Innovations, LLC (Anchor Path)
• Alison Lee Behrens, LMHC
• Norberto Benitez, M.D.
• Alexandra Bennett, LMHC

• Clinical Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.