Organization Active NPI

Beyond Play Counseling and Wellness Center, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Aiken, SC
National Provider Identifier
1083334148
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BEYOND PLAY COUNSELING AND WELLNESS CENTER, LLC
Practice address
35 Varden Dr Ste B
Aiken, SC 29803-5275
Phone
(706) 750-9510
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Lasaundria WalkerNPI 1174114391
Title
Owner
Phone
(706) 691-9278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

35 Varden Dr Ste B
Aiken, SC 29803-5275

Mailing address

35 Varden Dr Ste B
Aiken, SC 29803-5275
Phone (706) 691-9278

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1083334148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VARDEN DR STE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035275",
            "telephone_number": "706-691-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VARDEN DR STE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035275",
            "telephone_number": "706-750-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PLAY COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LASAUNDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-691-9278"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.