Jennifer Blair Beard, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0810004602 Issued in VA

Practice address

400 Brandon Ave
Box 800760
Charlottesville, VA 22908-0760

Phone

(434) 243-5180

Fax

(434) 243-5188

NPI assigned

May 31, 2011

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

Other names 1

• Jennifer Blair Burnett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1114211893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BRANDON AVE",
            "address_2": "BOX 800760",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080760",
            "telephone_number": "434-243-5180",
            "fax_number": "434-243-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRANDON AVE",
            "address_2": "BOX 800760",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080760",
            "telephone_number": "434-243-5180",
            "fax_number": "434-243-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "JENNIFER",
        "middle_name": "BLAIR",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810004602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BURNETT",
            "middle_name": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counseling Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Counseling Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.