Beau H Brendler, CASAC-T, CARC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Dover Plains, NY
NPI 1972228898 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1972228898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 36643 (NY)
- Practice address
- 7 Dover Village Plaza, Ste #2
Dover Plains, NY 12522 - Phone
- (845) 444-2333
- NPI assigned
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36643 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Center for Recovery, Inc. | Current |
Accepting new patients | |
| Lexington Center for Recovery, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 36643 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 36643 | NY | Yes |
Addresses
Primary practice location
7 Dover Village Plaza, Ste #2
Dover Plains, NY 12522
Mailing address
41 Page Park Dr
Poughkeepsie, NY 12603-7500
Phone (845) 486-2950
Other practice location 1
41 Page Park Dr
Poughkeepsie, NY 12603-7500
Phone (845) 486-2950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Poughkeepsie |
Other providers in Dover Plains, NY
- All About Rehab Management, Inc.
- Jordan Armeli
- David Aylward Jr.
- Elizabeth Ann Baird
- Joanne Bischofsberger
- Cheryl A Bruzgul
- Amy Nicole Bryson
- Taylor A Caputo
- Michelle Mary Carroll
- Kevin Edmond Cresci
All providers in Dover Plains, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.