Active NPI
Belton Kinard Evans, LPC
- Professional Counselor
- North Augusta, SC
National Provider Identifier
1821313248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005548
- Practice address
- 2222 Vireo Dr
North Augusta, SC 29841-3135 - Phone
- (803) 378-2513
- NPI assigned
- Mar 29, 2010
- 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 | LPC005548 | GA | Primary |
Addresses
Primary practice location
2222 Vireo Dr
North Augusta, SC 29841-3135
Mailing address
2222 Vireo Dr
North Augusta, SC 29841-3135
Phone (803) 378-2513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC 005548 | Other | GA | GEORGIA LICENSING BOARD |
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 |
|---|---|---|---|
| LPC005548 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1821313248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 VIREO DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413135",
"telephone_number": "803-378-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 VIREO DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413135",
"telephone_number": "803-378-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BELTON",
"middle_name": "KINARD",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSING BOARD",
"identifier": "LPC 005548",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
- Embrace Body Fitness & Nutrition LLC
- Katherine Anna Embry, MD
- Empower Pediatric Therapy LLC
- Essence Therapy LLC
- Essential Health & Wellness
- Family Center of Aiken
- Family Dentistry (J. Michael Havird DMD PC)
- Family Physicians North
- Family Practice Associates, PA of North Augusta
- Brooke Elizabeth Farmer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.