Charles W. Beard, PLMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007424 Issued in IL

Practice address

3000 Lenhart Rd
Springfield, IL 62711-9203

Phone

(217) 698-7150

Fax

(217) 698-7085

NPI assigned

Aug 25, 2006

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Living Hope Counseling Center

  • Professional Counselor
  • Springfield, IL
  • NPI 1770600355
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1750499398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W MASONIC ST",
            "address_2": "APT A",
            "city": "EDINBURG",
            "state": "IL",
            "postal_code": "625319613",
            "telephone_number": "217-698-7150",
            "fax_number": "217-698-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LENHART RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119203",
            "telephone_number": "217-698-7150",
            "fax_number": "217-698-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7708",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bdmack, Inc
• Beacon Counseling, PLLC
• David D Beal, MD
• Heather Nichole Beal, M.D.
• Trevor D Beal, PHARMD
• Gail K Beard, MA, LPC
• Lacy B Beard, NP-C
• Stacie D Beasley, DDS
• Stephen Eugene Beasley, PT
• Austin Michael Beason, MD

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.