HEATHER L BEAUDRY PHD
NPI 1760464937
Psychologist - Clinical in Johnson City, TN

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
1907 N ROAN ST STE 207, JOHNSON CITY, TN 37601(423) 282-0164 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather L Beaudry Phd NPPES

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

HEATHER L BEAUDRY PHD (NPI 1760464937) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (TN2735) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1760464937
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHEATHER L BEAUDRYCredential: PHD
Location Address1907 N ROAN ST STE 207Johnson City, TN 37601-3182
Mailing Address1907 N Roan St Ste 207Johnson City, TN 37601-3182 · (423) 282-0164
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
NPI 1760464937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TN · TN2735
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1907 N ROAN ST STE 207, Johnson City, TN 37601

Other Identifiers 1

Other042017PA · Blue Shield

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 and accepts Medicare assignment

Heather L Beaudry Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577538677
PECOS Enrollment IDI20110401000393
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
240 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Heather Beaudry's NPI number?

The NPI number for Heather Beaudry is 1760464937. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Heather Beaudry located?

Heather Beaudry practices at 1907 N Roan St Ste 207, Johnson City, TN 37601. The listed phone number is (423) 282-0164.

What is Heather Beaudry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heather Beaudry enrolled in Medicare?

Yes. Heather Beaudry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Beaudry accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Heather Beaudry 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 Heather Beaudry was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.