Gina M. Beck, LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GINA M. BECK, LCSW PLLC

Practice address

6451 McCall St Ste D
Bonners Ferry, ID 83805-8525

Phone

(208) 255-6937

NPI assigned

Jul 29, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Beck, LCSWNPI 1154612216

Title

Owner

Phone

(208) 255-6937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina M. Beck, L.C.S.W.

  • Clinical Social Worker
  • Bonners Ferry, ID
  • NPI 1154612216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1528794690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 MCCALL ST STE D",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058525",
            "telephone_number": "208-255-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 MCCALL ST STE D",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058525",
            "telephone_number": "208-255-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA M. BECK, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-255-6937",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Pearl Plaida Fusco, PHARMD
• Jennifer F Garwick, M.D.
• Jeremy Gau
• Taylor Geyman, DDS
• Troy W Geyman, M.D.
• Kenton Bing-Hock Goh, MD
• Ryan James Gorman, DNP, NP-C
• Kari L Gors, LMSW
• H.H.H. Holdings PLLC (Trinity Family Health & Permance)
• Kathleen Grace Hall

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.