MEDICARE: PATRICIA ROSE BEARD BHSH,SC CADC, MMHCPS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor
4	101Y00000X	Counselor

General Provider Information

NPI Number	:	1932030095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ROSE BEARD BHSH,SC CADC, MMHCPS

Provider Business Mailing Address
First Line	:	6055 N BRAWLEY AVE APT 261
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-9043
Country	:	US
Telephone Number	:	559-492-6002
Fax Number	:

Provider Business Practice Location Address
First Line	:	6055 N BRAWLEY AVE APT 261
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-9043
Country	:	US
Telephone Number	:	559-492-6002
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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