MEDICARE: STEPHANIE BEALER MS, TLMHC

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	101YM0800X	Mental Health Counselor	137055	IA

General Provider Information

NPI Number	:	1619822293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BEALER MS, TLMHC

Provider Business Mailing Address
First Line	:	785 KERVIN CT
Second Line	:
City	:	ROBINS
State	:	IA
Zip	:	52328-9647
Country	:	US
Telephone Number	:	319-558-6558
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 16TH ST NE STE 105
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4665
Country	:	US
Telephone Number	:	319-382-6460
Fax Number	:

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

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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