Active NPI
Thomas J Beck, LPC
- Professional Counselor
- Springfield, IL
National Provider Identifier
1518456607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.012357
- Practice address
- 2200 Lake Victoria Dr
Springfield, IL 62703-5596 - Phone
- (217) 529-9266
- NPI assigned
- May 4, 2018
- Last updated
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.012357 | IL | Primary |
Addresses
Primary practice location
2200 Lake Victoria Dr
Springfield, IL 62703-5596
Mailing address
3204 Eagle Way
Chicago, IL 60678-1032
Phone (630) 717-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.012357 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1518456607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781032",
"telephone_number": "630-717-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 LAKE VICTORIA DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035596",
"telephone_number": "217-529-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.012357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.