Kelly S Beck
Individual provider Active NPI Counselor · Shawnee, OK
NPI 1386101624 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1386101624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 722 E Independence St Ste I
Shawnee, OK 74804-4037 - Phone
- (405) 810-0054
- Fax
- (405) 810-8977
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Inc Shawnee | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
722 E Independence St Ste I
Shawnee, OK 74804-4037
Mailing address
6051 N Brookline Ave Ste 112
Oklahoma City, OK 73112-4286
Phone (405) 810-0054
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.