Active NPI
Katelyn Becker, MA, LMFTA
- Marriage & Family Therapist
- Salem, NH
National Provider Identifier
1306324009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 236
- Practice address
- 15 Ermer Rd Unit 215
Salem, NH 03079-1272 - Phone
- (919) 624-9324
- NPI assigned
- Aug 3, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12039A | NC | |
| Marriage & Family Therapist | 106H00000X | 236 | NH | Primary |
Addresses
Primary practice location
15 Ermer Rd Unit 215
Salem, NH 03079-1272
Mailing address
15 Ermer Rd Unit 215
Salem, NH 03079-1272
Phone (919) 624-9324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 12, 2024 through Jun 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2037 | NC | MD | Professional Counselor |
| 12039A | NC | MD | Marriage & Family Therapist |
| 236 | NH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrisville Counseling and Consulting PLLC | 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.
-
- Professional Counselor
- Morrisville, NC
- NPI 1740831288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1306324009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ERMER RD UNIT 215",
"city": "SALEM",
"state": "NH",
"postal_code": "030791272",
"telephone_number": "919-624-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ERMER RD UNIT 215",
"city": "SALEM",
"state": "NH",
"postal_code": "030791272",
"telephone_number": "919-624-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "KATELYN",
"credential": "MA, LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "12039A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NH",
"license": "236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.