Individual provider Active NPI

Patricia Green Besczezynski, M.S., L.M.H.C.

  • Mental Health Counselor
  • Marianna, FL
National Provider Identifier
1447369277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH1565 Issued in FL
Practice address
4347 South St
Marianna, FL 32448-4237
Phone
(850) 526-7488
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH1565 FL Primary

Addresses

Primary practice location

4347 South St
Marianna, FL 32448-4237

Mailing address

4347 South St
Marianna, FL 32448-4237
Phone (850) 526-7488

Other identifiers 3

IdentifierTypeStateIssuer
MH1565OtherFLSTATE MENTAL HEALTH LICEN
25026OtherFLCERTIFIED FORENSICS COUNS
Z7950OtherFLBLUE CROSS/BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH1565FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447369277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 SOUTH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484237",
            "telephone_number": "850-526-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 SOUTH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484237",
            "telephone_number": "850-526-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESCZEZYNSKI",
        "first_name": "PATRICIA",
        "middle_name": "GREEN",
        "name_prefix": "Ms.",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MENTAL HEALTH LICEN",
            "identifier": "MH1565",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED FORENSICS COUNS",
            "identifier": "25026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Z7950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.