Individual provider Active NPI

Jessica Beckman, LCMHC, LCAS, NCC

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1225580459
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7745 Issued in NC
Practice address
1027 Arnold St
Greensboro, NC 27405-7101
Phone
(336) 496-8027
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1692 NC
Professional Counselor 101YP2500X 7745 NC Primary

Addresses

Primary practice location

1027 Arnold St
Greensboro, NC 27405-7101

Mailing address

277 Cathi LN
Kernersville, NC 27284-9363
Phone (336) 496-8027

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

LicenseStateTypeSpecialty
1692NCMDOccupational Therapist
7745NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JPB Counseling, PC Addiction (Substance Use Disorder) CurrentSince Oct 9, 2022 Accepting new patients

Locations

1027 Arnold St
Greensboro, NC 27405
Phone (336) 365-6867

1617 NC Highway 66 S
Ste 103
Kernersville, NC 27284

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1225580459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 CATHI LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849363",
            "telephone_number": "336-496-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 ARNOLD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057101",
            "telephone_number": "336-496-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "JESSICA",
        "credential": "LCMHC, LCAS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1692",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

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