Susan Beck, LMHC
Individual provider Active NPI Mental Health Counselor · Providence, RI
NPI 1477594570 · NPPES record last updated Mar 27, 2009
Key facts
- NPI
- 1477594570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC00026 (RI)
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 276-6380
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00026 | RI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00026 | RI | Yes |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
528 N Main St
Providence, RI 02904-5757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
| 62-36896 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 407018 | Other | RI | BLUE CHIP |
| SB31460 | Medicaid | RI | |
| 30003-6 | Other | RI | BLUE CROSS |
Other providers in Providence, RI
- Because I Matter Wellness Inc
- Becc, LLC
- Meaghan Bechard
- Alexandra Renee Bechtle
- Andrew Charles Beck
- Samantha Becker
- Sara Becker
- Curt G Beckwith
- Heather Beckwith
- Courtney Bedard
All providers in Providence, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2009. 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.