Active NPI
Beth A Liljestrand, MS EDS
- Counselor
- Tallahassee, FL
National Provider Identifier
1972812279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH7203
- Practice address
- 3201 Shamrock St S
Ste 103
Tallahassee, FL 32309-3321 - Phone
- (850) 661-5466
- Fax
- (850) 894-0062
- NPI assigned
- Oct 4, 2010
- Last updated
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH7203 | FL | Primary |
Addresses
Primary practice location
3201 Shamrock St S
Ste 103
Tallahassee, FL 32309-3321
Mailing address
3233 Arbor Hill Way
Tallahassee, FL 32309
Phone (850) 661-5466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008302000 | Medicaid | FL |
Other names 1
- Beth Ann Slane
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)
- Enrolled
- Credentials
- Master of Science
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tallahassee, FL
- NPI 1306333935
-
- Mental Health Counselor
- Tallahassee, FL
- NPI 1447695788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1972812279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233 ARBOR HILL WAY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32309",
"telephone_number": "850-661-5466",
"fax_number": "850-894-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 SHAMROCK ST S",
"address_2": "STE 103",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323093321",
"telephone_number": "850-661-5466",
"fax_number": "850-894-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILJESTRAND",
"first_name": "BETH",
"middle_name": "A",
"credential": "MS EDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH7203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008302000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "SLANE",
"middle_name": "ANN",
"credential": "MS EDS",
"code": "1",
"type": "Former Name"
}
]
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- Devin Limerick, PT
- Joshua Lin, PT
- Ko-Hui Lin, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.