DR. KENNETH ALLEN BEAVERS (NPI# 1124005400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005400 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ALLEN BEAVERS |
| Credential | PHD |
| Practice Address |
1115 Bethel Rd Columbus OH 43220-2690 |
| Practice Telephone | 6144593003 |
| Practice Fax Number | 6144513017 |
| Mailing Telephone | 6144593003 |
| Mailing Fax Number | 6144513017 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4271 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1115 BETHEL RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43220-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960213 | Kelley Smith Counseling LLC | Clinic/Center | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2020-07-28 |
| 1407470784 | Kelley Elizabeth Smith | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2020-06-03 |
| 1558984435 | Matt T Mcteague | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2020-05-26 |
| 1043840879 | Open Pathways Counseling LLC | Clinic/Center | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2020-01-21 |
| 1992279657 | Essence Counseling Group, LLC | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2019-01-16 |
| 1780150037 | Geckler Counseling and Consulting | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2018-10-15 |
| 1003315821 | Wendolyn Sueann Ross | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2018-02-07 |
| 1598204257 | Chubb Translaions, LLC | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2017-02-14 |
| 1972972297 | William Roberts | Social Worker | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2015-09-16 |
| 1033596358 | Mindy J. Nielsen Professional Counseling, LLC | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2015-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1740766559 | Smarter Therapy, LLC | Psychologist | 371 Forest St, Columbus, OH 43206-2221 | 2018-07-15 |
| 1568971570 | Dru Garcia | Psychologist | 999 Polaris Pkwy Ste 102, Columbus, OH 43240-2051 | 2017-09-21 |
| 1356712970 | Brett Allen Coney | Psychologist | 10047 Big Hand Rd, Columbus, MI 48063-2801 | 2015-10-08 |
| 1326446352 | Leila Phelps-ba | Psychologist | 6677 Kennerdown St, Columbus, OH 43229-1517 | 2014-12-08 |
| 1013257161 | Wesley Howard Sylvia | Psychologist | 1800 Harmon Ave, Columbus, OH 43223-3827 | 2013-02-27 |
| 1437465317 | Shonali C Raney | Psychologist | 4041 N High St Ste 300g, Columbus, OH 43214-3200 | 2010-08-30 |
| 1124331699 | Teresa Anne Young | Psychologist | 1520 Old Henderson Rd Ste E, Columbus, OH 43220 | 2010-07-26 |
| Find all providers in COLUMBUS | ||||
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| 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.