Active NPI
Emily S Becker, PC, MFT
- Professional Counselor
- Bowling Green, OH
National Provider Identifier
1194063115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1100334
- Practice address
- 1084 S Main St
Suite a
Bowling Green, OH 43402-4740 - Phone
- (419) 352-4624
- NPI assigned
- Jan 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.1100334 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | M.1300001 | OH |
Addresses
Primary practice location
1084 S Main St
Suite a
Bowling Green, OH 43402-4740
Mailing address
1084 S Main St
Suite a
Bowling Green, OH 43402-4740
Phone (419) 352-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306001482 | OH | Practitioner - Mental Health Counselor | 4880030428 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (419) 330-1349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1100334 | OH | MD | Professional Counselor |
| M.1300001 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients |
Locations
434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327
202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327
885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
-
- Family Medicine Physician
- Lorain, OH
- NPI 1487452603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1194063115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 S MAIN ST",
"address_2": "SUITE A",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024740",
"telephone_number": "419-352-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1084 S MAIN ST",
"address_2": "SUITE A",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434024740",
"telephone_number": "419-352-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "EMILY",
"middle_name": "S",
"credential": "PC, MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1100334",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "M.1300001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.