Individual provider Active NPI

Beverly Bonnet-King

  • Professional Counselor
  • Aiken, SC
National Provider Identifier
1679649057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4615 Issued in SC
Practice address
1135 Gregg Hwy
Aiken, SC 29801-6341
Phone
(803) 641-7700
Fax
(803) 641-7709
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4615 SC Primary
Professional Counselor 101YP2500X 16646 TX
Professional Counselor 101YP2500X 851LCPC MT

Addresses

Primary practice location

1135 Gregg Hwy
Aiken, SC 29801-6341

Mailing address

1135 Gregg Hwy
Aiken, SC 29801-6341
Phone (803) 641-7700

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
851LCPCMTMDProfessional Counselor
4615SCMDProfessional Counselor
16646TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679649057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 GREGG HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016341",
            "telephone_number": "803-641-7700",
            "fax_number": "803-641-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 GREGG HWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016341",
            "telephone_number": "803-641-7700",
            "fax_number": "803-641-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNET-KING",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4615",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16646",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "851LCPC",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.