Active NPI
Hayley Beck, MA, R-DMT
- Dance Therapist
- Kissimmee, FL
National Provider Identifier
1164140810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- License
- R-DMT-2782
- Practice address
- 2980 Park Pond Way
Kissimmee, FL 34741-7660 - Phone
- (407) 930-4711
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dance Therapist | 225600000X | R-DMT-2782 | PA | Primary |
Addresses
Primary practice location
2980 Park Pond Way
Kissimmee, FL 34741-7660
Mailing address
457 Madison Dr
Davenport, FL 33837-8852
Phone (570) 939-2676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-DMT-2782 | PA | MD | Dance Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Counseling of Central Florida, LLC. | Current | Accepting new patients |
Locations
2980 Park Pond Way
Kissimmee, FL 34741
Phone (407) 930-4711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Kissimmee, FL
- NPI 1497151369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1164140810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 MADISON DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338378852",
"telephone_number": "570-939-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 PARK POND WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417660",
"telephone_number": "407-930-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "HAYLEY",
"credential": "MA, R-DMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "PA",
"license": "R-DMT-2782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Beautyboost Wellness LLC
- Jaida Liana Beauvais, RBT
- Consolacion Liceth Becerra, RN-BC
- Sylvia Bechara, PSY.D.
- Annia Beck, DO 7292
- Leticia Beck
- Winston Grover Bedford Jr., D.M.D., M.D.
- Behavioral Mind Wellness: Evaluation, Prevention & Treatment
- Behavioral Multidisciplinary Center Corp (Behavioral and Mental Health Services)
- Behavioral Support Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.