What is Jeremy Beavers's NPI number?

Jeremy Beavers's National Provider Identifier (NPI) is 1558593905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeremy Beavers's specialty?

Jeremy Beavers is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jeremy Beavers located?

Jeremy Beavers's practice location on file with NPPES is 3444 Wisconsin Ave, Vicksburg, MS 39180-5331.

What is Jeremy Beavers's phone number?

The practice phone number listed in the NPPES registry for Jeremy Beavers is (601) 638-0031.

Is Jeremy Beavers's NPI active?

Yes — Jeremy Beavers's NPI (1558593905) is active in the NPPES registry as of the last update on 2009-08-19.

IndividualActive

Jeremy Beavers

NPI 1558593905 · Mental Health Counselor · Vicksburg, MS

Jeremy Beavers is a Mental Health Counselor provider in Vicksburg, MS (NPI 1558593905).

Provider details

NPI number: 1558593905
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3444 Wisconsin Ave

Vicksburg, MS 39180-5331

Phone: (601) 638-0031

Street-level locationGet directions

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Mailing address