Active NPI
Laura Jean Beauvais
- Professional Counselor
- Greer, SC
National Provider Identifier
1942767488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7078
- Practice address
- 955 W Wade Hampton Blvd Ste 5a
Greer, SC 29650-1296 - Phone
- (864) 525-4740
- Fax
- (864) 751-2824
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- 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 | 7078 | SC | Primary |
Addresses
Primary practice location
955 W Wade Hampton Blvd Ste 5a
Greer, SC 29650-1296
Mailing address
955 W Wade Hampton Blvd Ste 5a
Greer, SC 29650-1296
Phone (864) 525-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 17, 2024 through May 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7078 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1942767488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 5A",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-525-4740",
"fax_number": "864-751-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W WADE HAMPTON BLVD STE 5A",
"city": "GREER",
"state": "SC",
"postal_code": "296501296",
"telephone_number": "864-525-4740",
"fax_number": "864-751-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUVAIS",
"first_name": "LAURA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.