Drbev Mental Health Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DRBEV MENTAL HEALTH COUNSELING LLC

Doing business as

BEVERLY JACKSON

Practice address

9800 4TH St N
Suite 200
St Petersburg, FL 33702-2417

Phone

(203) 695-3015

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Jackson, LMHC

Title

Owner

Phone

(813) 434-3705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BEVERLY JACKSON Doing business as

Tax ID family

Beverly Jackson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Drbev Mental Health Counseling LLC

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1316499007
  NPD tax ID

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1952837478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022417",
            "telephone_number": "203-695-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022417",
            "telephone_number": "203-695-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRBEV MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-434-3705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009977500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY JACKSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anton M Dragonetti, ARNP
• Bonita J Drake, MD
• Karen Rose-Hill Drake, M.S. CCC-SLP
• Jane Draughon
• Drbev Mental Health Counseling LLC
• Christian George Drehsen, MD
• Keith Drennen, R.PH.
• David Mark Dresdner, MD
• Ariana M Drew-Mowton, LMHC
• Drfirst Injury Centers, P.L.

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.