Lynn Kelly Beck, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5763 Issued in FL

Practice address

907 Mariott Dr.
Suite 2022
Fort Walton Beach, FL 32547

Phone

(850) 243-0095

Fax

(850) 374-3192

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Carolyn N. Ketchel, P.a.

  • Clinical Social Worker
  • Mary Esther, FL
  • NPI 1275877086
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1487762134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MARIOTT DR.",
            "address_2": "SUITE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "LYNN",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corissa Lynn Bayer, PH.D.
• Zachary Clark Bayer, PSYD
• Beach Orthopaedic & Sports Medicine Clinic, PA
• Glynis Bealer
• Elizabeth Ann Beaver
• Robin Michelle Beck, FNP-C
• Reba C Bedoya, R.N.
• Staci Behm, RN, BSN
• Alexander Ali Behzadi, MD
• Beltone NWF LLC

• Mental Health Counselor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.