Individual provider Active NPI

Karen Elizabeth Beckum, LMHC, LPC, CCMHC

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1770811531
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9173 Issued in MA
Practice address
1266 Furnace Brook Pkwy Ste 404
Quincy, MA 02169-4785
Phone
(617) 595-7044
Fax
(888) 434-5097
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003271 VA
Mental Health Counselor 101YM0800X 9173 MA Primary

Addresses

Primary practice location

1266 Furnace Brook Pkwy Ste 404
Quincy, MA 02169-4785

Mailing address

1266 Furnace Brook Pkwy Ste 404
Quincy, MA 02169-4785
Phone (617) 595-7044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20260529000789 MA Practitioner - Mental Health Counselor 5890265920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

541 Plain St
Marshfield, MA 02050-2752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003271VAMDProfessional Counselor
9173MAMDPhysical Therapy Assistant

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1770811531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694785",
            "telephone_number": "617-595-7044",
            "fax_number": "888-434-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 FURNACE BROOK PKWY STE 404",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694785",
            "telephone_number": "617-595-7044",
            "fax_number": "888-434-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKUM",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC, LPC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003271",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.