Charles Adrian Bewley Jr., MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

124649 Issued in CA

Practice address

12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955

Phone

(818) 821-6012

NPI assigned

Dec 29, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1083374136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4265",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916170265",
            "telephone_number": "323-377-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071955",
            "telephone_number": "818-821-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEWLEY",
        "first_name": "CHARLES",
        "middle_name": "ADRIAN",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "124649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adrian@propsych.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "12501 Chandler Blvd Ste 102",
            "city": "Valley Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "916071955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.