Active NPI
Jacquelyn Beech, LMFT
- Marriage & Family Therapist
- Garner, NC
National Provider Identifier
1962895193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1801
- Practice address
- 12450 Cleveland Rd Ste 204
Garner, NC 27529-8355 - Phone
- (919) 610-9229
- Fax
- (919) 981-9055
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1801 | NC | Primary |
Addresses
Primary practice location
12450 Cleveland Rd Ste 204
Garner, NC 27529-8355
Mailing address
12450 Cleveland Rd Ste 204
Garner, NC 27529-8355
Phone (919) 610-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250423003164 | NC | Practitioner - Marriage and Family Therapist | 1254643307 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12450 Cleveland Rd
Suite 204
Garner, NC 27529-8355
Phone (919) 604-9325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1801 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Me Therapy, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
12450 Cleveland Rd
Ste 204
Garner, NC 27529
Phone (919) 295-2757
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Garner, NC
- NPI 1043036205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1962895193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12450 CLEVELAND RD STE 204",
"city": "GARNER",
"state": "NC",
"postal_code": "275298355",
"telephone_number": "919-610-9229",
"fax_number": "919-981-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12450 CLEVELAND RD STE 204",
"city": "GARNER",
"state": "NC",
"postal_code": "275298355",
"telephone_number": "919-610-9229",
"fax_number": "919-981-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEECH",
"first_name": "JACQUELYN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.