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ETHAN LEE BEAVER MA, LCAS-A
NPI 1003689563
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since November 06, 2023
616 COLONNADE DR, CHARLOTTE, NC 28205(704) 273-3942(704) 749-2305 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Lee Beaver Ma, Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN LEE BEAVER MA, LCAS-A (NPI 1003689563) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (LCAS-29534) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1003689563
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameETHAN LEE BEAVERCredential: MA, LCAS-A
Location Address616 COLONNADE DRCharlotte, NC 28205-6827
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 273-3942
Fax(704) 749-2305
Sole ProprietorNo
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1003689563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-29534
616 COLONNADE DR, Charlotte, NC 28205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D'ASIA MACKENZIE PHRONEBARGER LCMHC-A
Counselor (Professional)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
LATIA SHARONNE PIERCE
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 618-3635
MS. ANNETTE ELEANOR THOMPSON LCAS
Counselor (Addiction (Substance Use Disorder))
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
BONITA A GRAHAM
Counselor (Professional)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
KATHERINE NICOLE SCARBOROUGH
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
MRS. JANEEN SHENAY-REID TISDELL MSW, LCSW-A
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
ASHA HERRING
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942
HANNAH CUMBY
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 273-3942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Beaver's NPI number?

The NPI number for Ethan Beaver is 1003689563. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Ethan Beaver located?

Ethan Beaver practices at 616 Colonnade Dr, Charlotte, NC 28205. The listed phone number is (704) 273-3942.

What is Ethan Beaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Ethan Beaver accept?

Health plans from Blue Cross and Blue Shield of NC list Ethan Beaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Beaver was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.