Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William George Beasley Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912514670

William George Beasley Jr. is a Mental Health Counselor in Jacksonville, North Carolina. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

205 Sherwood Rd
Jacksonville, NC 28540-5534
Phone: (910) 554-7870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 16618 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CADC-16144 (NC)

Record details

NPI number1912514670
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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