Individual provider Active NPI

Eva Beauchemin, LLMSW

  • Addiction (Substance Use Disorder) Counselor
  • Lansing, MI
National Provider Identifier
1699096941
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6801098474 Issued in MI
Practice address
4902 S Cedar St
Lansing, MI 48910-5474
Phone
(517) 394-7867
Fax
(517) 394-7867
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801098474 MI Primary
Social Worker 104100000X 217377 MA

Addresses

Primary practice location

4902 S Cedar St
Lansing, MI 48910-5474

Mailing address

4902 S Cedar St
Lansing, MI 48910-5474
Phone (517) 394-7867

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
6801098474MIMDAddiction (Substance Use Disorder) Counselor
217377MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Clinical Services Lansing PastSince Mar 2, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1699096941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105474",
            "telephone_number": "517-394-7867",
            "fax_number": "517-394-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105474",
            "telephone_number": "517-394-7867",
            "fax_number": "517-394-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHEMIN",
        "first_name": "EVA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801098474",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "217377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.