Jennifer Beckham, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7522 Issued in SC

Practice address

37 Villa Rd Ste 407
Greenville, SC 29615-3040

Phone

(864) 448-3448

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1609464486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BIRCHWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VILLA RD STE 407",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153040",
            "telephone_number": "864-448-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "JENNIFER",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kaleidecare",
            "affiliation": "Y",
            "endpointDescription": "electronical medical record",
            "affiliationName": "Justice Works Behavioral Care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37 Villa Rd Ste 407",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296153040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Bond Becker, MSN, APRN-BC
• Karen P. Becker, COTA/L
• Collin Wayne Beckermeyer
• Christina Beckert, PHARMD
• Courtney Beckham
• Michael Lawrence Beckish, M.D.
• Carmen Beckle
• Cecil Eugene Beckner
• Daniel Lucas Beckner, ADC-IP
• Krystal Daniel Becks, ANP-C

• Professional Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.