Kelci Ward Beus

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10822128-6009 Issued in UT

Practice address

2727 N Washington Blvd Ste 301
North Ogden, UT 84414-2276

Phone

(801) 710-0421

NPI assigned

Jun 7, 2017

Last updated

May 3, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tree of Life Childrens Center LLC

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  • NPI 1154968246
  NPD (past)
• Tree of Life Counseling Center

  • Clinical Social Worker
  • North Ogden, UT
  • NPI 1437714797
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1598294183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N WASHINGTON BLVD STE 301",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142276",
            "telephone_number": "801-710-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N WASHINGTON BLVD STE 301",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142276",
            "telephone_number": "801-710-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUS",
        "first_name": "KELCI",
        "middle_name": "WARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10822128-6009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL & PROFESSIONAL LIC",
            "identifier": "10822128-6009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Ogden, UT
• Providers in North Ogden, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.