Jonathan David Beaumont, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5017 Issued in SC

Practice address

5211 N Trenholm Rd
Columbia, SC 29206-4815

Phone

(803) 422-0035

NPI assigned

Apr 11, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaumont Counseling Services, LLC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1841553799
  NPD (past) Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1174880421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 VIRGINIA ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014645",
            "telephone_number": "803-422-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 N TRENHOLM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064815",
            "telephone_number": "803-422-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5017",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Faith Price Beaty, MSW, LISW-CP
• Robert H. Beaty Jr., BCBA
• Danielle Beaudoin
• Timakia Beaufort
• Beaumont Counseling Services, LLC
• Matthew Thomas Beauregard, PA-C
• Beautiful Life Counseling Services, LLC
• Beautiful Mindset LLC (Yolanda Sims)
• Beautiful State Counseling & Consulting, LLC
• George M Beaver, MD

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.