Sally Irene Beck, LMFT, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1739 Issued in MN

Practice address

110 1St St E
Jordan, MN 55352-1502

Phone

(952) 451-3660

Fax

(952) 582-1666

NPI assigned

Jan 19, 2007

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faithworks Counseling, LLC

  dba Anchor Counseling

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1235377656
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1558414136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521502",
            "telephone_number": "952-451-3660",
            "fax_number": "952-582-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521502",
            "telephone_number": "952-451-3660",
            "fax_number": "952-582-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 Wayzata Blvd Ste 203-5",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051502",
            "country_code": "US",
            "telephone_number": "952-451-3660",
            "fax_number": "952-582-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "SALLY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "LMFT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558414136",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Vision Care PA (Valley Eye Clinic and Optical)
• Aegis Group Practice LLC
• Alliance Medical Care Centers
• Kylee Breanne Anderson
• Mary Bauer, MA, LADC, MFT INTERN
• Nelly Esther Bonilla Bonilla, PSYD, LP
• Chiropractic Specialists, Inc.
• Melanee Ann Lundgren Chmiel, D.D.S.
• Linda Dols Clausen, LMFT
• Alexis Marie Collins

• Marriage & Family Therapist in Jordan, MN
• Providers in Jordan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.