Jeffrey Tyler Beck
Individual provider Active NPI Peer Specialist · Kennett, MO
NPI 1508754110 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1508754110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1071 Jones St
Kennett, MO 63857-3866 - Phone
- (573) 888-5925
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1071 Jones St
Kennett, MO 63857-3866
Mailing address
1071 Jones St
Kennett, MO 63857-3866
Phone (573) 888-5925
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. 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.