Mary Elizabeth Becker, L.P.C.C.
Individual provider Active NPI Professional Counselor · New Brighton, MN
NPI 1699003111 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1699003111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC00308 (MN)
- Practice address
- 1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112 - Phone
- (651) 628-9566
- Fax
- (651) 628-0411
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00308 | MN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00308 | MN | Yes |
Addresses
Primary practice location
1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112
Mailing address
1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112
Phone (651) 379-1764
Other names
- Mary Elizabeth Becker
Other providers in New Brighton, MN
- Najma Barre
- Dale Gene Barron
- Olivia N Bates
- Lyn Marie Batten
- April Lee Bauer
- Ann Marie Beier
- Megan Elizabeth Bell
- Bella Home Health Care LLC
- Benedictine Care Centers
- Colin Benidt
All providers in New Brighton, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.