Beau Palmer

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.163863 Issued in OH

Practice address

121 W Mulberry St
Lancaster, OH 43130-3014

Phone

(740) 277-7512

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pickaway Area Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Circleville, OH
  • NPI 1063462109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1053809004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131208",
            "telephone_number": "740-477-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MULBERRY ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303014",
            "telephone_number": "740-277-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Fayette Ctr",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431602120",
            "country_code": "US",
            "telephone_number": "740-335-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131208",
            "country_code": "US",
            "telephone_number": "740-477-1745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BEAU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.163863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangita Ajay Padmalwar, MPAS, PA-C
• Mara Catherine Page
• Robert A Page
• Bethany Marie Palfrey
• Kerith Palletti, LPC
• Ella Palmer
• Ella Elizabeth Palmowski, RN
• James Pan, M.D.
• Rachel Pan, M.D.
• Pradeep K Pandya, M.D.

• Addiction (Substance Use Disorder) Counselor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.