Beverly Diane Coon, LCSW
Individual provider Active NPI Mental Health Counselor · Arcadia, OK
NPI 1518135169 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1518135169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 821 S Westminster Rd
Arcadia, OK 73007-6913 - Phone
- (405) 640-6306
- NPI assigned
- Feb 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3908 N Peniel Ave
Suite 500
Bethany, OK 73008-3402
Phone (405) 603-3265
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160317000809 | OK | Practitioner - Clinical Social Worker | 7113223181 | Practice locations: Bethany, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
821 S Westminster Rd
Arcadia, OK 73007-6913
Mailing address
821 S Westminster Rd
Arcadia, OK 73007-6913
Phone (405) 640-6306
Other names
- Miss Beverly Diane McCormick
Other providers in Arcadia, OK
- Brady Allen Bristow
- Chance Airhart Aprn-Crna PLLC
- Christian Dane Fleming
- Geo Chacko MD PC
- Hands on Demand Doula, LLC
- Integrative Health and Wellness
- Hallie F Kasiri
All providers in Arcadia, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.