John Michael Beaubien, APC
Counselor, Mental Health in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1710550504
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1710550504
- Entity type
- Individual (NPI-1)
- Name
- John Michael Beaubien
- Credential
- APC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | APC006292 | GA | Yes |
Practice location
175 Gwinnett DrLawrenceville, GA 30046-8444
Phone 678-209-2394
Mailing address
2068 Indian Trail Lilburn RdNorcross, GA 30071-3618
Phone 770-235-1570
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 237 Mental Health Counselor providers in Lawrenceville · All 5,967 providers in Lawrenceville
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