Beverley Avril Bellard, LCPC
Individual provider Active NPI Counselor · Kuna, ID
NPI 1679942940 · NPPES record last updated Oct 5, 2024
Key facts
- NPI
- 1679942940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LCPC-6814 (ID)
- Practice address
- 2988 S Locust Grove Rd
Kuna, ID 83634-2428 - Phone
- (208) 901-8729
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-6814 | ID | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC-6814 | ID | Yes |
Addresses
Primary practice location
2988 S Locust Grove Rd
Kuna, ID 83634-2428
Mailing address
2988 S Locust Grove Rd
Kuna, ID 83634-2428
Phone (208) 901-8729
Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.