Individual provider Active NPI

Michele D Beard

  • Professional Counselor
  • Sikeston, MO
National Provider Identifier
1962980078
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016005833 Issued in MO
Practice address
808 Hunter Ave
Sikeston, MO 63801-2248
Phone
(573) 475-9111
NPI assigned
Jul 31, 2018
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2016005833 MO Primary
School Counselor 101YS0200X MO

Addresses

Primary practice location

808 Hunter Ave
Sikeston, MO 63801-2248

Mailing address

1431 Pemiscot St
Cape Girardeau, MO 63701-4613
Phone (573) 620-1594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240625002572 MO Practitioner - Mental Health Counselor 6800339375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Care Inc CurrentSince Jun 1, 2024 Accepting new patients
Managed Care Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

808 Hunter Ave
Ste 4
Sikeston, MO 63801
Phone (573) 471-2905

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1962980078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PEMISCOT ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014613",
            "telephone_number": "573-620-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HUNTER AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012248",
            "telephone_number": "573-475-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MICHELE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016005833",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.