MR. WILLIAM EDWARD BEYER (NPI# 1588833479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588833479 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM EDWARD BEYER |
| Credential | LSPE-HSP, LPC-MHSP |
| Practice Address |
25 Security Dr Jackson TN 38305-3754 |
| Practice Telephone | 7316602850 |
| Practice Fax Number | 7316602850 |
| Mailing Telephone | 7316602850 |
| Mailing Fax Number | 7316602850 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC0000000416 | TN | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PE0000001755 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952468761 | William Richard Beyer Jr. | Optometrist | 395 Highway 33, Mercerville, NJ 08619-4401 | 2007-01-02 |
| 1053420067 | William D. Beyer | Family Medicine | 204 S Adams St, Saint Croix Falls, WI 54024-9449 | 2006-08-30 |
| Street Address |
25 SECURITY DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002336 | Kimberly Ann Howerton | Family Medicine | 25 Security Dr, Jackson, TN 38305-3754 | 2005-06-13 |
| 1700197183 | Patient Centered Physician's Care, P.C. | Obstetrics & Gynecology | 25 Security Dr, Jackson, TN 38305-3754 | 2010-06-30 |
| 1366693483 | Claudia Lilian Gossett-divine | Counselor | 25 Security Dr, Jackson, TN 38305-3754 | 2008-10-07 |
| 1255543880 | Cathy Christine Jordan | Counselor | 25 Security Dr, Jordan Professional Counseling, Jackson, TN 38305-3754 | 2007-05-04 |
| 1962574970 | Noreen M Trefz | Counselor | 25 Security Dr, Jackson, TN 38305-3626 | 2006-11-14 |
| 1316961857 | Linda Laney | Counselor | 25 Security Dr, Jackson, TN 38305-3626 | 2006-07-27 |
| 1558382713 | Mary Ann Tremblay | Counselor | 25 Security Dr, Jackson, TN 38305-3626 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1356407423 | Bobby L. Raines | Psychologist | 1903 N Highland Ave, Jackson, TN 38305-4525 | 2006-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193039 | Rebecca Ann Hansmann | Psychologist | 2721 Overhill Cir, Nashville, TN 37214-2819 | 2018-11-21 |
| 1386110112 | Esther Layne | Psychologist | 5466 Chesapeake Dr, Chattanooga, TN 37416-1478 | 2018-10-19 |
| 1629570445 | De'armond Lyshawn Toney | Psychologist | 1903 Payne Rd, Chattanooga, TN 37421-2550 | 2018-03-07 |
| 1255848842 | Kristie M Anderson | Psychologist | 16 Laurel Lake Drive, Monteagle, TN 37356 | 2018-01-04 |
| 1144629072 | Bobby Rouse Sr. | Psychologist | 5152 Sequoia Rd, Memphis, TN 38117-2123 | 2014-08-15 |
| 1790023505 | Karen Rutledge | Psychologist | 6310 Jan Lane Dr, Harrison, TN 37341-4961 | 2013-01-29 |
| 1538494273 | Jerome H Morton | Psychologist | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2009-10-14 |
| 1184859209 | Sara Jean Mccane-bowling | Psychologist | 10321 Red Water Ln, Knoxville, TN 37932-1580 | 2009-05-19 |
| 1508043084 | Shawn M Stewart | Psychologist | 1231 17th Ave S, Suite A, Nashville, TN 37212-2801 | 2008-01-27 |
| 1104959501 | Michael Thomas Myszka | Psychologist | 4211 Elkins Ave, A, Nashville, TN 37209-3641 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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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.