MEDICARE: BETH A ASAF 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	101Y00000X	Counselor	CP0296	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699257402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH A ASAF LPC

Provider Business Mailing Address
First Line	:	4170 N MARINE DR APT 14E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-2333
Country	:	US
Telephone Number	:	702-279-2815
Fax Number	:	702-549-7297

Provider Business Practice Location Address
First Line	:	9027 TRUMPET COURT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-6950
Country	:	US
Telephone Number	:	702-279-2815
Fax Number	:	866-757-5778

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

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	01/23/2026

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