BEAU PALMER (NPI# 1053809004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053809004 |
| Entity Type | Individual |
| Full Name | BEAU PALMER |
| Practice Address |
327 E Mill St Circleville OH 43113-2029 |
| Mailing Address |
110 Highland Ave Circleville OH 43113-1208 |
| Practice Telephone | 7405001402 |
| Mailing Telephone | 7404772779 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.163863 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217517 | Beau Gordon Palmer | Student in an Organized Health Care Education/Training Program | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-04-06 |
| Street Address |
327 E MILL ST |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033607379 | Kodi C Haney | Social Worker | 327 E Mill St, Circleville, OH 43113-2029 | 2018-04-23 |
| 1497353288 | Luke Marhoover | Case Manager/Care Coordinator | 327 E Mill St, Circleville, OH 43113-2029 | 2020-10-13 |
| 1215408026 | Brian Lee Arnold | Rehabilitation Practitioner | 327 E Mill St, Circleville, OH 43113-2029 | 2018-12-06 |
| 1396216032 | Carl Orin Jr. | Rehabilitation Practitioner | 327 E Mill St, Circleville, OH 43113-2029 | 2018-12-06 |
| 1013407477 | Judson Scott Karshner | Counselor | 327 E Mill St, Circleville, OH 43113-2029 | 2018-05-11 |
| 1871081828 | Tyler Patrick Magee | Counselor | 327 E Mill St, Circleville, OH 43113-2029 | 2018-04-25 |
| 1760970719 | Renee Alexandra Kress | Counselor | 327 E Mill St, Circleville, OH 43113-2029 | 2018-04-25 |
| 1962990911 | John Marcus Kersey IIi | Counselor | 327 E Mill St, Circleville, OH 43113-2029 | 2018-04-25 |
| 1023506235 | Cassandra Nicole Patterson | Counselor | 327 E Mill St, Circleville, OH 43113-2029 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740339803 | Jacqueline Ann Rose | Counselor | 906 N Court St, Suite C, Circleville, OH 43113-1230 | 2007-01-09 |
| 1063462109 | Pickaway Area Recovery Services | Counselor | 319 Logan St, Circleville, OH 43113-2213 | 2006-05-11 |
| 1083224216 | Anedeam Snow Martin | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2020-08-03 |
| 1881229573 | Taryn Goble | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2020-03-03 |
| 1932747409 | Terry Matthew Stewart | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-12-16 |
| 1013565027 | Sheena Artrip | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-09-03 |
| 1578117305 | Stephanie Lynn Heaston | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-07-30 |
| 1194299032 | Dan Richard Bise | Counselor | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2019-01-14 |
| 1386114072 | Megan Bailey | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-11-26 |
| 1275000861 | Kailee Mishelle Gardner | Counselor | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2018-11-01 |
| Find all providers in CIRCLEVILLE | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
Please comment or provide details below to improve the information on BEAU PALMER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.