JILL RENEE BEACH LAC
NPI 1477298677
Counselor - Professional in Manila, AR

Q: What is Jill Beach's NPI number?

The NPI number for Jill Beach is 1477298677. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Q: What is Jill Beach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jill Beach was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 May 02, 2022

DELTA BEHAVIORAL HEALTH, LLC, 920 E. MEDICAL DRIVE, MANILA, AR 72442(870) 570-0358(870) 570-0359 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2025, May 2, 2022 (2 updates tracked since 2022).

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About Jill Renee Beach Lac NPPES

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

JILL RENEE BEACH LAC (NPI 1477298677) is an individual professional provider in Manila, Arkansas, licensed in Arkansas (A2412004) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1477298677

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJILL RENEE BEACHCredential: LAC

Location AddressDELTA BEHAVIORAL HEALTH, LLC, 920 E. MEDICAL DRIVEManila, AR 72442

Mailing AddressP.o. Box 717Manila, AR 72442 · (870) 570-0358 · Fax (870) 570-0359

Phone(870) 570-0358

Fax(870) 570-0359

Sole ProprietorNo

Enumeration DateMay 2, 2022

Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2022

✔ NPI 1477298677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · A2412004

DELTA BEHAVIORAL HEALTH, LLC, Manila, AR 72442

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Other Identifiers 1

Medicaid283638795AR

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 Jill Beach's NPI number?

The NPI number for Jill Beach is 1477298677. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jill Beach located?

Jill Beach practices at Delta Behavioral Health, LLC 920 E. Medical Drive, Manila, AR 72442. The listed phone number is (870) 570-0358.

What is Jill Beach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jill Beach was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.