MEDICARE: MATTHEW BEEBE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701016104	VA

General Provider Information

NPI Number	:	1861185381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW BEEBE LPC

Provider Business Mailing Address
First Line	:	7222 JILLSPRING CT
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-3608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11166 FAIRFAX BLVD STE 207
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	703-397-8163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	04/21/2026

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Directions to “ MATTHEW BEEBE LPC” Practice Location

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