Active NPI
Donald Beam Jr
- Professional Counselor
- Newtown, PA
National Provider Identifier
1760920177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009456
- Practice address
- 105 Terry Dr Ste 103
Newtown, PA 18940-1872 - Phone
- (215) 504-3969
- NPI assigned
- Feb 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009456 | PA | Primary |
Addresses
Primary practice location
105 Terry Dr Ste 103
Newtown, PA 18940-1872
Mailing address
105 Terry Dr Ste 103
Newtown, PA 18940-1872
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC009456 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1760920177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 TERRY DR STE 103",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 TERRY DR STE 103",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401872",
"telephone_number": "215-504-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAM JR",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-06",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.