Individual provider Active NPI

Monica Beard

  • Psychologist
  • Independence, KS
National Provider Identifier
1376649137
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016 Issued in KS
Practice address
3751 W Main St
Independence, KS 67301-8446
Phone
(620) 331-1748
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 016 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAC 520 KS

Addresses

Primary practice location

3751 W Main St
Independence, KS 67301-8446

Mailing address

PO Box 688
Independence, KS 67301-0688

Other identifiers 1

IdentifierTypeStateIssuer
200437250AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819000551 KS Practitioner - Mental Health Counselor 3577913680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four County Mental Health Center IncGroup PAC ID 7012904071, 22 clinicians

Practice addresses (Care Compare)

3354 Hwy 160
Independence, KS 67301-7841
Phone (620) 331-1748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAC 520KSMDAddiction (Substance Use Disorder) Counselor
016KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Mental Health Center, Inc. CurrentSince May 23, 2024 Accepting new patients
Four County Mental Health Center Inc CurrentSince May 23, 2024 Accepting new patients

Locations

1601 W 4th St
Coffeyville, KS 67337
Phone (620) 251-8180

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1376649137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673018446",
            "telephone_number": "620-331-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "016",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "LCAC 520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437250A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

Verify at the official NPI Registry.