Camille Renee Beck, LPC MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4876 Issued in TN

Practice address

6160 Shallowford Rd Ste 103
Chattanooga, TN 37421-7213

Phone

(423) 933-1224

Fax

(423) 892-6182

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Addiction & Mental Health Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chattanooga, TN
  • NPI 1992853352
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1316647779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9698 MULBERRY GAP WAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373631453",
            "telephone_number": "423-362-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217213",
            "telephone_number": "423-933-1224",
            "fax_number": "423-892-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "CAMILLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION",
            "identifier": "1992853352",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Gail Beatty
• Nicole L Beaty, OD
• Steven Beaty
• Douglas Leandre Bechard, M.D.
• Sherrell J Bechtel, LCSW
• Courtney Lee Ann Beck, MSW
• Danielle Nikole Beck
• Nicholas John Beckel, ATC
• Lisa Nicolle Becker
• Jaclyn Beckler, LCSW, CCTP, C-DBT

• Mental Health Counselor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.