Individual provider Active NPI

Jacquelyn Beech, LMFT

  • Marriage & Family Therapist
  • Garner, NC
National Provider Identifier
1962895193
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1801 Issued in NC
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

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1801NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Me Therapy, Inc. Marriage & Family Therapist CurrentSince Dec 4, 2024 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.

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

Verify at the official NPI Registry.