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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MR. EDDIE RICHARD BEACH III LPC
NPI 1164344552
Counselor - Mental Health in Janesville, WI

Active since July 28, 2026
4504 TANGLEWOOD DR, JANESVILLE, WI 53546(888) 688-9296 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Eddie Richard Beach Iii Lpc NPPES

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

MR. EDDIE RICHARD BEACH III LPC (NPI 1164344552) is an individual mental health provider in Janesville, Wisconsin, licensed in Michigan (6401226101) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1164344552
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDDIE RICHARD BEACH IIICredential: LPC
Location Address4504 TANGLEWOOD DRJanesville, WI 53546-3509
Mailing Address3155 Olsen Dr Ste 375San Jose, CA 95117-1688 · (888) 688-9296
Phone(888) 688-9296
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1164344552 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 · 6401226101
4504 TANGLEWOOD DR, Janesville, WI 53546
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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 Eddie Beach's NPI number?

The NPI number for Eddie Beach is 1164344552. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Eddie Beach located?

Eddie Beach practices at 4504 Tanglewood Dr, Janesville, WI 53546. The listed phone number is (888) 688-9296.

What is Eddie Beach's specialty?

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

When was this NPI record last updated?

The NPPES record for Eddie Beach was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.