NPIMap

Individual provider Active NPI

James A Beitman, ADDICTION COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Carmel, IN
National Provider Identifier
1770029605
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87000613A Issued in IN
Practice address
90 Executive Dr
Suite a
Carmel, IN 46032-2611
Phone
(317) 844-5742
Fax
(317) 844-5737
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000613A IN Primary

Addresses

Primary practice location

90 Executive Dr
Suite a
Carmel, IN 46032-2611

Mailing address

90 Executive Dr
Suite a
Carmel, IN 46032-2611
Phone (317) 844-5742

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
87000613AINMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1770029605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322611",
            "telephone_number": "317-844-5742",
            "fax_number": "317-844-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322611",
            "telephone_number": "317-844-5742",
            "fax_number": "317-844-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITMAN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "ADDICTION COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.