Bevans Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7760 Issued in MA

Legal business name

BEVANS COUNSELING LLC

Practice address

1093 Beacon St
Brookline, MA 02446-5695

Phone

(617) 651-0996

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Schmidt Bevans, LMHC, BC-DMT

Title

Owner

Phone

(617) 651-0996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1801266820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465695",
            "telephone_number": "617-651-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465695",
            "telephone_number": "617-651-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVANS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "BEVANS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SCHMIDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-651-0996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, BC-DMT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.