Jacqueline Beckhom

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

Trinity Social Services, LLC 50 Lenox Pointe, NE Suite
Atlanta, GA 30324

Phone

(678) 824-6590

Fax

(678) 228-1258

NPI assigned

Oct 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1326515636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6158 PEMBROKE DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731244",
            "telephone_number": "770-875-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY SOCIAL SERVICES, LLC 50 LENOX POINTE, NE SUITE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "678-824-6590",
            "fax_number": "678-228-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHOM",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian G Beckford, M.D.
• Keyana Beckford
• Peter Beckford, PHARMD
• James Eugene Beckham III, JEB BECKHAM M.D.
• Leslie Beckham, AU.D.
• Valencia L. Beckley, R.N.
• Jenifer Nicole Beckman, LPC, ACS, RPT, NCC
• Ross Matthew Beckman, M.D.
• Brittney Renea Beckmon-Forrester, PA-C
• Jerika Beckom

• Rehabilitation Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Rehabilitation Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.