Individual provider Active NPI

Dorothy Beckley, LPC

  • Professional Counselor
  • Flagstaff, AZ
National Provider Identifier
1225642267
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19200 Issued in AZ
Practice address
624 N Humphreys St Ste 1
Flagstaff, AZ 86001-3070
Phone
(928) 864-5024
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-19200 AZ Primary
Mental Health Counselor 101YM0800X 16885 AZ
Mental Health Counselor 101YM0800X LPC-19200 AZ
Professional Counselor 101YP2500X 16885 AZ

Addresses

Primary practice location

624 N Humphreys St Ste 1
Flagstaff, AZ 86001-3070

Mailing address

624 N Humphreys St Ste 1
Flagstaff, AZ 86001-3070
Phone (928) 864-5024

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

State licenses

LicenseStateTypeSpecialty
16885AZMDProfessional Counselor
LPC-19200AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Counseling PLLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

624 N Humphreys St
Ste 1
Flagstaff, AZ 86001
Phone 92881401220

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1225642267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "928-864-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "928-864-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "DOROTHY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19200",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "16885",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "16885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.