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BEVERLEY V THEODORE LPC
NPI 1861076614
Counselor - Professional in Richmond Hill, GA

Active since May 07, 2021PECOS Enrolled
505 HARRIS TRAIL RD APT 4H, RICHMOND HILL, GA 31324(404) 944-0525 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverley V Theodore Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLEY V THEODORE LPC (NPI 1861076614) is an individual professional provider in Richmond Hill, Georgia, licensed in Georgia (LPC012057) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861076614
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBEVERLEY V THEODORECredential: LPC
Location Address505 HARRIS TRAIL RD APT 4HRichmond Hill, GA 31324-4250
Mailing Address505 Harris Trail Rd Apt 4hRichmond Hill, GA 31324-4250 · (404) 944-0525
Phone(404) 944-0525
Sole ProprietorYes
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
✔ NPI 1861076614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC012057
505 HARRIS TRAIL RD APT 4H, Richmond Hill, GA 31324
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverley V Theodore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverley Theodore's NPI number?

The NPI number for Beverley Theodore is 1861076614. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Beverley Theodore located?

Beverley Theodore practices at 505 Harris Trail Rd Apt 4H, Richmond Hill, GA 31324. The listed phone number is (404) 944-0525.

What is Beverley Theodore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Beverley Theodore enrolled in Medicare?

Yes. Beverley Theodore is registered in the Medicare PECOS enrollment system.

What insurance does Beverley Theodore accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas and Providence Health Plan list Beverley Theodore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverley Theodore was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.