John Kyle Beerman

Individual provider Active NPI Professional Counselor · The Villages, FL

NPI 1609646264 · NPPES record last updated Oct 2, 2025

Key facts

NPI
1609646264
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
24394 (FL)
Practice address
3470 Woodridge Dr
The Villages, FL 32162-7191
Phone
(352) 750-4529
NPI assigned
Jan 4, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
24394FLMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 24394 FL Yes

Addresses

Primary practice location

3470 Woodridge Dr
The Villages, FL 32162-7191

Mailing address

3470 Woodridge Dr
The Villages, FL 32162-7191

Other providers in The Villages, FL

All providers in The Villages, FL · Professional Counselor in Florida

Sources for this page

Verify at the official NPI Registry.