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

NPI Status: Active since November 06, 2023

Contact Information

616 COLONNADE DR
CHARLOTTE, NC
ZIP 28205
Phone: (704) 273-3942
Fax: (704) 749-2305

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  • Individual
  • Male
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance

About ETHAN BEAVER

This page provides the complete NPI Profile along with additional information for Ethan Beaver, a provider established in Charlotte, North Carolina with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1003689563 assigned on November 2023. The practitioner's primary taxonomy code is 101YA0400X with license number LCAS-29534 (NC). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1003689563
Provider Name
ETHAN LEE BEAVER MA, LCAS-A
Gender
Male
Entity Type
Individual
Location Address
616 COLONNADE DR CHARLOTTE, NC 28205
Location Phone
(704) 273-3942
Location Fax
(704) 749-2305
Mailing Address
284 EXECUTIVE PARK DR STE 100 CONCORD, NC 28025
Mailing Phone
(704) 939-1100
Mailing Fax
(704) 749-2305
Is Sole Proprietor?
No
Enumeration Date
11-06-2023
Last Update Date
11-06-2023
Code Navigator

A Substance Abuse or Addiction Counselor like Ethan Beaver advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
LCAS-29534
License State
NC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health - EPO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003689563, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 2 + 8 + 1 + 8 + 5 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003689563.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Community/Behavioral Health
616 COLONNADE DR
CHARLOTTE, NC 28205
Counselor (Professional)
616 COLONNADE DR
CHARLOTTE, NC 28205
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Counselor (Addiction (Substance Use Disorder))
616 COLONNADE DR
CHARLOTTE, NC 28205
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205
Counselor (Professional)
616 COLONNADE DR
CHARLOTTE, NC 28205
Social Worker (Clinical)
616 COLONNADE DR
CHARLOTTE, NC 28205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003689563, enumerated as an "individual" on November 06, 2023.

The provider is located at 616 COLONNADE DR CHARLOTTE, NC 28205 and the phone number is (704) 273-3942.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.