Beverly Jewell, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC #326 Issued in CA

Practice address

655 N Palm Canyon Dr Ste 201
Palm Springs, CA 92262-5529

Phone

(760) 699-7027

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Beverly Park-Jewell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1205277175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N PALM CANYON DR STE 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625529",
            "telephone_number": "760-699-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N PALM CANYON DR STE 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625529",
            "telephone_number": "760-699-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "BEVERLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LPCC326",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC #326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "PARK-JEWELL",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Jaramillo
• Michael F Jardula, MD
• Gerardo Jauregui-Reynoso
• Ernest A Jeppsen, MD
• Jamye J. Jesser, PSY.D.
• Jewish Family Service of the Desert
• Jherndons LLC
• Linda Jimenez, ED.S, PPS
• Wendy Jimenez, PHARMD
• John D. Stansell, M.D., Inc

• Professional Counselor in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.