Cary Family Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1341 Issued in NC

Legal business name

CARY FAMILY THERAPY, PLLC

Practice address

1143 Executive Cir Ste B
Suite 201
Cary, NC 27511-4571

Phone

(919) 740-2444

Fax

(919) 724-4104

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Renee Beckmann, MA, LMFT

Title

Owner

Phone

(919) 740-2444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1750665022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 EXECUTIVE CIR STE B",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114571",
            "telephone_number": "919-740-2444",
            "fax_number": "919-724-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 EXECUTIVE CIR STE B",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114571",
            "telephone_number": "919-740-2444",
            "fax_number": "919-724-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "BECKMANN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-740-2444",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.