MEDICARE: MS. BEVERLY J. TRICKEY 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	P0304017	AR
2	101YP2500X	Professional Counselor	PO304017	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2159310	OTHER	AR	CIGNA BEHAVIORAL HEALTH
2	946145	OTHER	AR	USA MANAGED CARE
3	220694	OTHER	AR	COMPSYCH
4	60054	OTHER	AR	AETNA
5	MIS 773923000	OTHER	AR	MAGELLAN
6	5X382	OTHER	AR	BLUE CROSS & BLUE SHIELD
7	3070018900	OTHER	AR	QUAL-CHOICE
8	71-0401764	OTHER	AR	CORPHEALTH
9	710401764TRI	OTHER	AR	UNITY MANAGED M.H. CO.
10	297605	OTHER	AR	MHN NETWORK

General Provider Information

NPI Number	:	1043282056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BEVERLY J. TRICKEY LPC

Provider Business Mailing Address
First Line	:	176 MAPLELEAF CIR
Second Line	:
City	:	HOT SPRINGS NATIONAL PARK
State	:	AR
Zip	:	71901-3300
Country	:	US
Telephone Number	:	501-860-1114
Fax Number	:	501-623-2266

Provider Business Practice Location Address
First Line	:	100 RIDGEWAY ST STE 1
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-7155
Country	:	US
Telephone Number	:	501-860-1114
Fax Number	:	501-623-2266

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	01/27/2026

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Directions to “ MS. BEVERLY J. TRICKEY LPC” Practice Location

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