Jordan Beckum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007810 Issued in GA

Practice address

1125 Penny LN
Roswell, GA 30076-3924

Phone

(770) 402-4952

NPI assigned

Apr 8, 2022

Sex

Female

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

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.

• Heal Atl Counseling & Wellness

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1043771926
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1093457376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 WOODLAND TER SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PENNY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763924",
            "telephone_number": "770-402-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKUM",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan@healatl.com",
            "affiliation": "N",
            "address_1": "1125 Penny Ln",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300763924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bearor Family Chiropractic, Inc.
• Robert Nathan Bearor
• Alisa Faye Beattie, LCSW
• Scott T. Becker, PA
• Mikayla Beckley
• Ashton Laine Beecher
• Herschel I Beker, M.D.
• Emalyn Mae Belcher, WHNP
• Daniel Rahe Belew, M.D.
• Sharwil Bell, DPT

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.