Beth Faulkner Jewell, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16089 Issued in TX

Practice address

8311 Red Willow Dr
Austin, TX 78736-1721

Phone

(512) 534-5429

NPI assigned

Apr 30, 2008

Last updated

Aug 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Beyond the Gray Sky LLC

  dba Pursuit of Happiness

  • Community/Behavioral Health Agency
  • Arlington, TX
  • NPI 1780976076
  Medicare reassignment NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1437325495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 RED WILLOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787361721",
            "telephone_number": "512-534-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 RED WILLOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787361721",
            "telephone_number": "512-534-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "BETH",
        "middle_name": "FAULKNER",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16089",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16089",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148657302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Sherrene Jessup
• Nicholas Edward Jessup
• Jester Dental PC (Jester Village Dental)
• Samson Jesudass, M.D.
• Patsy Ann Jevas, C.R.N.A.
• Janet N Jewell, MD
• Ashleigh Danielle Jewett, LCSW
• Courtney Jewett, MS, LPC
• Heather Jewett, MS, RDN, LD
• Jewish Community Association of Austin

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.