Active NPI
Ervin Eric Beasley, LPC
- Professional Counselor
- Irmo, SC
National Provider Identifier
1194184176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6913
- Practice address
- 7436 Forest CT Ste 102
Irmo, SC 29063-2856 - Phone
- (803) 667-2146
- NPI assigned
- Feb 18, 2016
- Last updated
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6913 | SC | Primary |
Addresses
Primary practice location
7436 Forest CT Ste 102
Irmo, SC 29063-2856
Mailing address
244 Midway Rd
Lexington, SC 29072-9303
Phone (803) 318-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1967 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6913 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Therapist LLC | Current | Accepting new patients |
Locations
7436 Forest Ct
Ste 102
Irmo, SC 29063
Phone (803) 318-7272
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Irmo, SC
- NPI 1356997746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1194184176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 MIDWAY RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729303",
"telephone_number": "803-318-7272",
"fax_number": "803-708-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7436 FOREST CT STE 102",
"city": "IRMO",
"state": "SC",
"postal_code": "290632856",
"telephone_number": "803-667-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "ERVIN",
"middle_name": "ERIC",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-18",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1967",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.