JEFFREY BEASLEY AMFT - NPI 1437574092 - Marriage & Family Therapist in Placentia, CA

Q: What is Jeffrey Beasley's NPI number?

The NPI number for Jeffrey Beasley is 1437574092. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Q: What is Jeffrey Beasley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Beasley was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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About Jeffrey Beasley Amft NPPES

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

JEFFREY BEASLEY AMFT (NPI 1437574092) is an individual marriage & family therapist in Placentia, California, licensed in California (IMF92204) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1437574092

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJEFFREY BEASLEYCredential: AMFT

Location Address101 S KRAEMER BLVD STE 110Placentia, CA 92870

Mailing Address101 S Kraemer Blvd Ste 110Placentia, CA 92870-6109 · (562) 921-5701 · Fax (562) 921-5703

Phone(562) 921-5701

Fax(562) 921-5703

Sole ProprietorYes

Enumeration DateFebruary 19, 2014

Last NPPES UpdateMay 15, 2018

✔ NPI 1437574092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF92204

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

101 S KRAEMER BLVD STE 110, Placentia, CA 92870

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Secondary Practice Location 1

Location 12100 N Broadway, Suite 101Santa Ana, CA 92706-2624 · Phone (714) 245-6881 · Fax (714) 245-6891

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Jeffrey Beasley Amft 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 10

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

AKETZALLI MORALEZ

Student in an Organized Health Care Education/Training Program