Individual provider Active NPI

Jessica Mabel Beyer, LCMHCS, LCAS

  • Professional Counselor
  • Matthews, NC
National Provider Identifier
1932427374
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7912 Issued in NC
Practice address
250 N Trade St Ste 206
Matthews, NC 28105-9433
Phone
(980) 202-2288
NPI assigned
May 10, 2010
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 7912 NC Primary

Addresses

Primary practice location

250 N Trade St Ste 206
Matthews, NC 28105-9433

Mailing address

250 N Trade St Ste 206
Matthews, NC 28105-9433
Phone (980) 202-2288

Other identifiers 1

IdentifierTypeStateIssuer
1880FOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7912NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Vida Counseling, PLLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

250 N Trade St
Ste 206
Matthews, NC 28105
Phone (980) 202-2288

616 N Broome St
Ste 101
Waxhaw, NC 28173
Phone (980) 202-2288

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1932427374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 206",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059433",
            "telephone_number": "980-202-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 206",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059433",
            "telephone_number": "980-202-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "JESSICA",
        "middle_name": "MABEL",
        "credential": "LCMHCS, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1880F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.