Active NPI
Karen Elizabeth Beckum, LMHC, LPC, CCMHC
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1770811531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9173
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003271 | VA | MD | Professional Counselor |
| 9173 | MA | MD | Physical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.