SUZANNE M EAGAN BEVERLY LMHC, BC-DMT
NPI 1134251036
Counselor - Mental Health in Cambridge, MA

NPI Status: Active since March 09, 2007

Contact Information

875 MASS AVE STE 25
CAMBRIDGE, MA
ZIP 02139
Phone: (781) 790-6369

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  • Individual
  • Female
  • Counselor
  • Mental Health

About SUZANNE EAGAN BEVERLY

This page provides the complete NPI Profile along with additional information for Suzanne Eagan Beverly, a provider established in Cambridge, Massachusetts with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1134251036 assigned on March 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 7965 (MA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1134251036
Provider Name
SUZANNE M EAGAN BEVERLY LMHC, BC-DMT
Other Name
SUZANNE EAGAN
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
875 MASS AVE STE 25 CAMBRIDGE, MA 02139
Location Phone
(781) 790-6369
Mailing Address
875 MASS AVE STE 25 CAMBRIDGE, MA 02139
Mailing Phone
(781) 790-6369
Is Sole Proprietor?
Yes
Enumeration Date
03-09-2007
Last Update Date
07-02-2013
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A mental health counselor like Suzanne Eagan Beverly provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
7965
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225600000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Dance Therapist

BC-DMT 1060 (MA)

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1060OTHER (01)MAAMERICAN DANCE MOVEMENT THERAPY ASSOCIATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134251036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216445206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 5 + 2 + 0 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1134251036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134251036, enumerated as an "individual" on March 09, 2007.

The provider is located at 875 MASS AVE STE 25 CAMBRIDGE, MA 02139 and the phone number is (781) 790-6369.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.