Individual provider Active NPI

Stormie Lorraine Beckerle, LAAC

  • Addiction (Substance Use Disorder) Counselor
  • Kingman, AZ
National Provider Identifier
1619876125
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15201 Issued in AZ
Practice address
1740 E Beverly Ave
Kingman, AZ 86409-3564
Phone
(928) 753-9383
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 15201 AZ Primary

Addresses

Primary practice location

1740 E Beverly Ave
Kingman, AZ 86409-3564

Mailing address

2910 Rawhide Dr
Kingman, AZ 86401-7820
Phone (928) 530-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1619876125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 RAWHIDE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017820",
            "telephone_number": "928-530-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E BEVERLY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093564",
            "telephone_number": "928-753-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERLE",
        "first_name": "STORMIE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "LAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.