Organization Active NPI

Beachside Therapy & Wellness LLC

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1992543748
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEACHSIDE THERAPY & WELLNESS LLC
Practice address
570 N State St
Westerville, OH 43082-8086
Phone
(330) 858-7407
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Erin BeachNPI 1437770708
Title
Owner
Phone
(330) 858-7407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

570 N State St
Westerville, OH 43082-8086

Mailing address

8352 Cliffthorne Way
Columbus, OH 43235-1482
Phone (330) 858-7407

National Provider Directory

National Provider Directory

Locations

570 N State St
Westerville, OH 43082
Phone (330) 858-7407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1992543748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 CLIFFTHORNE WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351482",
            "telephone_number": "330-858-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828086",
            "telephone_number": "330-858-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-858-7407"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.