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BEAL COUNSELING & CONSULTING NPI 1417904269


NPI Information

NPI: 1417904269
Provider Name: BEAL COUNSELING & CONSULTING
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 39D2187955

Address:
445 WESTRIDGE RD
SUITE 103
SOMERSET, PA
ZIP 15501
Phone: (814) 444-9696
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BEAL COUNSELING & CONSULTING is an addiction (substance use disorder) counselor in Somerset, PA. BEAL COUNSELING & CONSULTING NPI is 1417904269. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

445 WESTRIDGE RD
SUITE 103
SOMERSET, PA
ZIP 15501-148
Phone: (814) 444-9696
Fax: (814) 444-0345

The provider's authorized official is R Justin Beal .
The authorized official title is Owner/therapist and has the following contact phone number (814) 444-9696.

The CLIA number assigned to this NPI record is 39D2187955 - other - bup drug & alcohol with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalCW012683PENNSYLVANIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)567-012PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101435492OTHERPENNSYLVANIAHIGHMARK
21011556830002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.