BEVERLY JACKSON FRAZIER
NPI 1083491823
Counselor - Mental Health in Southgate, MI

Active since September 14, 2023PECOS Enrolled
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(248) 686-9634 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Jackson Frazier NPPES

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

BEVERLY JACKSON FRAZIER (NPI 1083491823) is an individual mental health provider in Southgate, Michigan, licensed in Michigan (6401004160) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083491823
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY JACKSON FRAZIER
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507 · (248) 686-9634
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1083491823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401004160
14799 DIX TOLEDO RD, Southgate, MI 48195

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Beverly Jackson Frazier is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195

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 Beverly Frazier's NPI number?

The NPI number for Beverly Frazier is 1083491823. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Beverly Frazier located?

Beverly Frazier practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (248) 686-9634.

What is Beverly Frazier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Beverly Frazier enrolled in Medicare?

Yes. Beverly Frazier is registered in the Medicare PECOS enrollment system.

What insurance does Beverly Frazier accept?

Health plans from Blue Care Network of Michigan and Priority Health list Beverly Frazier 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 Beverly Frazier was last updated on January 12, 2024. 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.