Individual provider Active NPI

Jennifer Graves Belham, LCMHC

  • Professional Counselor
  • Waynesville, NC
National Provider Identifier
1073883005
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9252 Issued in NC
Practice address
28 Walnut St Ste 8
Waynesville, NC 28786-3246
Phone
(828) 316-1708
Fax
(828) 484-4452
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9252 NC Primary

Addresses

Primary practice location

28 Walnut St Ste 8
Waynesville, NC 28786-3246

Mailing address

28 Walnut St Ste 8
Waynesville, NC 28786-3246
Phone (828) 316-1708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9252NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1073883005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST STE 8",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863246",
            "telephone_number": "828-316-1708",
            "fax_number": "828-484-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST STE 8",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863246",
            "telephone_number": "828-316-1708",
            "fax_number": "828-484-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELHAM",
        "first_name": "JENNIFER",
        "middle_name": "GRAVES",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.