Melissia Elaine Beckham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34547 Issued in TX

Practice address

2201 S W S Young Dr Ste 117A1
Killeen, TX 76543-5338

Phone

(254) 415-7989

Fax

(254) 699-7309

NPI assigned

Mar 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Behavioral Health Associates

  • Psychologist
  • Killeen, TX
  • NPI 1932184389
  NPD (past)
• Timothy J Daheim PA

  • Clinical Psychologist
  • Killeen, TX
  • NPI 1376973321
  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1245470277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10757",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470757",
            "telephone_number": "254-415-7989",
            "fax_number": "254-699-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S W S YOUNG DR STE 117A1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435338",
            "telephone_number": "254-415-7989",
            "fax_number": "254-699-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "MELISSIA",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "34547",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "34547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140832-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Bechdol, DPT
• Alexandria Beck
• Emma Beck
• Jessica Beck
• Shelby A Beck, NP
• Seble H Bedasso
• Melissa Leigh Bedolla, APRN
• Behavior for Life, Inc.
• Lisa J Beisel, M.D.
• Niala Belizaire

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.