Alicia Jean Beynon, LISW-S, LICDC-CS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700055-SUPV Issued in OH

Practice address

1495 Sunflower Rd
New Concord, OH 43762-9671

Phone

(855) 692-7247

Fax

(855) 692-7247

NPI assigned

Feb 16, 2007

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cedar Ridge Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1063779460
  Medicare reassignment NPD Authorized official
• Cedar Ridge Behavioral Health Solutions

  • Community/Behavioral Health Agency
  • Cambridge, OH
  • NPI 1447769666
  NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1851435523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 SUNFLOWER RD",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437629671",
            "telephone_number": "877-692-7247",
            "fax_number": "877-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 SUNFLOWER RD",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437629671",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYNON",
        "first_name": "ALICIA",
        "middle_name": "JEAN",
        "credential": "LISW-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700055-SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.101038-CS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron B Lawrence
• Avitas LLC
• Caralee Michelle Barr
• Beckett House Opco, LLC
• Derek Bennett
• Kenneth Blood, ATC
• Body Mechanic Physical Therapy
• Caralee Barr
• Care Equip, LLC
• City of New Concord

• Clinical Social Worker in New Concord, OH
• Providers in New Concord, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.