BRENDA BEVERLY CADC
NPI 1043608680
Counselor - Addiction (Substance Use Disorder) in Jackson, MI

Q: What is Brenda Beverly's NPI number?

The NPI number for Brenda Beverly is 1043608680. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Q: What is Brenda Beverly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenda Beverly was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 06, 2015

1190 WEST, 1190 WEST SUITE 812, JACKSON, MI 49202(517) 513-3657(517) 513-3693 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brenda Beverly Cadc NPPES

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

BRENDA BEVERLY CADC (NPI 1043608680) is an individual addiction (substance use disorder) provider in Jackson, Michigan, licensed in Michigan (2-00945) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1043608680

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameBRENDA BEVERLYCredential: CADC

Location Address1190 WEST, 1190 WEST SUITE 812Jackson, MI 49202

Mailing Address3817 Lone Pine Dr Apt 2Holt, MI 48842-8800 · (989) 233-1020

Phone(517) 513-3657

Fax(517) 513-3693

Sole ProprietorYes

Enumeration DateJanuary 6, 2015

✔ NPI 1043608680 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 MI · 2-00945

1190 WEST, Jackson, MI 49202

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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 Brenda Beverly's NPI number?

The NPI number for Brenda Beverly is 1043608680. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Brenda Beverly located?

Brenda Beverly practices at 1190 West 1190 West Suite 812, Jackson, MI 49202. The listed phone number is (517) 513-3657.

What is Brenda Beverly's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenda Beverly was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.