Organization Active NPI

B.Well Counseling and Consulting LLC

  • Mental Health Counselor
  • Aiken, SC
National Provider Identifier
1629848007
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
B.WELL COUNSELING AND CONSULTING LLC
Practice address
920 Houndslake Dr # B204
Aiken, SC 29803-5924
Phone
(864) 517-6309
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Brooke Beckwith Davis, LISW-CPNPI 1659888048
Title
Owner
Phone
(864) 517-6309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

920 Houndslake Dr # B204
Aiken, SC 29803-5924

Mailing address

920 Houndslake Dr # B204
Aiken, SC 29803-5924
Phone (803) 816-1260

Other identifiers 1

IdentifierTypeStateIssuer
995MXNMedicaidSC

National Provider Directory

National Provider Directory

Locations

920 Houndslake Dr
#B204
Aiken, SC 29803
Phone (803) 816-1260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1629848007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR # B204",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "803-816-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR # B204",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "864-517-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.WELL COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "BECKWITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-517-6309",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995MXN",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.