Individual provider Active NPI

Judy K Beck, MA, LPCC

  • Mental Health Counselor
  • Farmington, NM
National Provider Identifier
1467515510
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0076041 Issued in NM
Practice address
1200 W Apache St BLDG 16
Farmington, NM 87401-3886
Phone
(505) 436-1114
Fax
(505) 806-7462
NPI assigned
Dec 19, 2006
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0076041 NM Primary
Professional Counselor 101YP2500X 0076041 NM
School Psychologist 103TS0200X 270679 NM

Addresses

Primary practice location

1200 W Apache St BLDG 16
Farmington, NM 87401-3886

Mailing address

1200 W Apache St BLDG 16
Farmington, NM 87401-3886
Phone (505) 436-1114

Other identifiers 3

IdentifierTypeStateIssuer
NM00JM82OtherNMBLUE CROSS BLUE SHIELD
67577725MedicaidNM
49536290MedicaidNM

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 Arts

State licenses

LicenseStateTypeSpecialty
0076041NMMDMental Health Counselor
270679NMMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judy Beck LPCC LLC Mental Health CurrentSince Dec 6, 2022 Accepting new patients
Choices Behavioral Health Services, Inc. PastSince Mar 1, 2020 Accepting new patients

Locations

1200 W Apache St
Bldg 16
Farmington, NM 87401
Phone (505) 436-1114

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1467515510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W APACHE ST BLDG 16",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013886",
            "telephone_number": "505-436-1114",
            "fax_number": "505-806-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W APACHE ST BLDG 16",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013886",
            "telephone_number": "505-436-1114",
            "fax_number": "505-806-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "JUDY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0076041",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0076041",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "270679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00JM82",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67577725",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49536290",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.