Richard Grady Beacham, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9557 Issued in NC

Practice address

2734 Commerce Rd
Jacksonville, NC 28546-7511

Phone

(910) 799-1071

Fax

(910) 799-3313

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492
  NPD (past)
• Carenet, Inc.

  • Mental Health Counselor
  • Jacksonville, NC
  • NPI 1568712990
  NPD (past)
• Heritage Counseling and Wellness, PLLC

  • Professional Counselor
  • Coats, NC
  • NPI 1962005918
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1962446161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033202",
            "telephone_number": "910-799-1071",
            "fax_number": "910-799-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 COMMERCE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467511",
            "telephone_number": "910-799-1071",
            "fax_number": "910-799-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHAM",
        "first_name": "RICHARD",
        "middle_name": "GRADY",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9557",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaina Marie Battisto, PTA
• Felicia Baxley
• Kyle Major Baxley, RBT
• Ellee Joann Baxter
• Bay Area Psychology Associates, PLLC
• Matthew Beagle
• Deanna Brooke Beard, NP, PPCNP-BC
• William George Beasley Jr.
• Melissa Beers, PHARMD
• Tracey Marie Beland, PHARMD

• Professional Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.