Ewelina K Beardmore, M.A., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009676 Issued in IL

Practice address

1700 W Irving Park Rd Ste 301
Chicago, IL 60613-2462

Phone

(312) 560-0407

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Ewelina Beardmore Psychotherapy LLC

  dba Soleil Psychotherapy LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1376169284
  NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1588908578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "312-560-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "312-560-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDMORE",
        "first_name": "EWELINA",
        "middle_name": "K",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009676",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Beard, HAD
• Glenn A. T. Beard, M. D.
• James Edward Beard, DMD, MS
• Loren Beard
• Stefani Elizabeth Beard, DO
• Mackenzie Bearley
• Andrew Beaser
• Beverly D Beasley, COTA
• Jasmine Beasley, DO
• Keesha Beasley, AMFT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.