Individual provider Active NPI

Wendy Kay Beale, L.C.S.W.

  • Addiction (Substance Use Disorder) Counselor
  • Syracuse, NY
National Provider Identifier
1952550592
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17465 Issued in NY
Practice address
770 James St Ste 215
Syracuse, NY 13203-2644
Phone
(315) 422-0671
Fax
(315) 422-2734
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17465 NY Primary

Addresses

Primary practice location

770 James St Ste 215
Syracuse, NY 13203-2644

Mailing address

770 James St Ste 215
Syracuse, NY 13203-2644
Phone (315) 422-0671

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
17465NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Judi F. Rozsa LCSW Casac P.C. Addiction (Substance Use Disorder) Past Accepting new patients
Judith F Rozsa MSW CSW Cac PC Past Accepting new patients

Organizations & group practices 2

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1952550592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JAMES ST STE 215",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032644",
            "telephone_number": "315-422-0671",
            "fax_number": "315-422-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JAMES ST STE 215",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032644",
            "telephone_number": "315-422-0671",
            "fax_number": "315-422-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "WENDY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "17465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.