Active NPI
Terri Beard
- Mental Health Counselor
- Lubbock, TX
National Provider Identifier
1972148393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79438
- Practice address
- 5701 Avenue P BLDG 9
Lubbock, TX 79412-3674 - Phone
- (806) 747-3488
- NPI assigned
- Nov 8, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79438 | TX | Primary |
Addresses
Primary practice location
5701 Avenue P BLDG 9
Lubbock, TX 79412-3674
Mailing address
5701 Avenue P BLDG 9
Lubbock, TX 79412-3674
Phone (806) 747-3488
Other names 1
- Ms. Terri Beard
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lubbock | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79438 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Assn of Lubbock, Texas, Inc. | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Lubbock, TX
- NPI 1659541308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1972148393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 AVENUE P BLDG 9",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123674",
"telephone_number": "806-747-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 AVENUE P BLDG 9",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123674",
"telephone_number": "806-747-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "TERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79438",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lubbock",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Lubbock",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Lubbock",
"address_1": "5701 Avenue P",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794123674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TERRI",
"last_name": "BEARD",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.