Individual provider Active NPI

Kelley Renee Beecher, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1487815312
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36095 Issued in TX
Practice address
4615 Southwest Fwy
Ste 860
Houston, TX 77027-7143
Phone
(713) 623-2861
Fax
(713) 623-0189
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 36095 TX Primary

Addresses

Primary practice location

4615 Southwest Fwy
Ste 860
Houston, TX 77027-7143

Mailing address

4615 Southwest Fwy
Ste 860
Houston, TX 77027-7143
Phone (713) 623-2861

Other identifiers 1

IdentifierTypeStateIssuer
1951220-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4615 Southwest Fwy
Suite 860
Houston, TX 77027

4615 Southwest Fwy
Suite 860
Houston, TX 77027-7143
Phone 2815576546104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1487815312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY",
            "address_2": "STE 860",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277143",
            "telephone_number": "713-623-2861",
            "fax_number": "713-623-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY",
            "address_2": "STE 860",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277143",
            "telephone_number": "713-623-2861",
            "fax_number": "713-623-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECHER",
        "first_name": "KELLEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951220-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.