Active NPI
Heidi Kathleen Beckenbach McGann, LPCC
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1295189660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC 2767
- Practice address
- 5100 Marlborough Dr
San Diego, CA 92116-2020 - Phone
- (619) 567-7399
- Fax
- (619) 567-7399
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC 2767 | CA | Primary |
Addresses
Primary practice location
5100 Marlborough Dr
San Diego, CA 92116-2020
Mailing address
5100 Marlborough Dr
San Diego, CA 92116-2020
Phone (619) 567-7399
Other names 1
- Heidi Kathleen Beckenbach
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC 2767 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Your True Potential | Mental Health | Past | Accepting new patients |
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": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1295189660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 MARLBOROUGH DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921162020",
"telephone_number": "619-567-7399",
"fax_number": "619-567-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 MARLBOROUGH DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921162020",
"telephone_number": "619-567-7399",
"fax_number": "619-567-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKENBACH MCGANN",
"first_name": "HEIDI",
"middle_name": "KATHLEEN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC 2767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "BECKENBACH",
"middle_name": "KATHLEEN",
"credential": "PCCI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.