MR. BYRON FRANK BEALL (NPI# 1225354087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225354087 |
| Entity Type | Individual |
| Full Name | MR. BYRON FRANK BEALL |
| Credential | LCSW, BCBA |
| Practice Address |
961687 Gateway Blvd Suite 201 N Fernandina Beach FL 32034-9157 |
| Mailing Address |
Po Box 16837 Fernandina Beach FL 32035-3131 |
| Practice Telephone | 9042778999 |
| Practice Fax Number | 9042064174 |
| Mailing Telephone | 9045562169 |
| Mailing Fax Number | 9042064174 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | SW5260 | FL | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1010451 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID WAIVER | 692499996 | 01 |
| FL | MEDICAID WAIVER | 692499998 | 01 |
| Street Address |
961687 GATEWAY BLVD SUITE 201 N |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-9157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962585331 | Larry M Ogilvie | Massage Therapist | 961687 Gateway Blvd, Suite 201c, Fernandina Beach, FL 32034-9157 | 2006-10-21 |
| 1902135486 | Beall & Associates Inc. | Community/Behavioral Health | 961687 Gateway Blvd, Suite 201 N, Fernandina Beach, FL 32034-9157 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497806186 | Annette R Maguire | Counselor | 1303 Jasmine St Ste 102, Fernandina Beach, FL 32034-2991 | 2007-01-16 |
| 1427073741 | Paula Porterfield-izzo | Counselor | 2794 Long Boat Dr, Fernandina Beach, FL 32034-6004 | 2006-07-13 |
| 1477890713 | Susan Maxwell | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2013-01-07 |
| 1215238290 | Deborah Dufresne | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2010-11-08 |
| 1811020472 | Kendra Tobey-thornton | Counselor | 910 S 8th St, Suite 300, Fernandina Beach, FL 32034-3744 | 2007-03-13 |
| 1013047505 | Janet White | Counselor | 910 S 8th St, Suite 300, Fernandina Beach, FL 32034-3744 | 2007-03-06 |
| 1598806861 | Pamela L Nixon | Counselor | 910 S 8th St, Suite 300, Fernandina Beach, FL 32034-3744 | 2007-02-09 |
| 1265572911 | Jolaunda Bailey | Counselor | 910 S 8th St, Suite 300, Fernandina Beach, FL 32034-3744 | 2007-02-08 |
| 1699815167 | Abigail Carter Fields | Counselor | 1903 Island Walk Way, Fernandina Beach, FL 32034-4797 | 2007-02-07 |
| 1558401703 | George Brummer | Counselor | 910 S 8th St, Suite 300, Fernandina Beach, FL 32034-3744 | 2007-02-07 |
| Find all providers in FERNANDINA BEACH | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.