Ami Brooke Beckman, TCADC, MSW

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Nancy, KY

NPI 1780341016 · NPPES record last updated Nov 22, 2021

Key facts

NPI
1780341016
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
260519 (KY)
Practice address
9245 W Highway 80
Nancy, KY 42544-8767
Phone
(606) 288-0013
Fax
(606) 288-0013
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
260519KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gratitude Adjustment Current
since Nov 1, 2024
Accepting new patients
Gratitude Adjustment Addiction (Substance Use Disorder) Current
since Nov 28, 2021
Accepting new patients

Locations

9245 W Highway 80
Nancy, KY 42544
Phone (606) 288-0013

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 260519 KY Yes

Addresses

Primary practice location

9245 W Highway 80
Nancy, KY 42544-8767

Mailing address

229 Clover Pointe Dr
Somerset, KY 42503-5802
Phone (606) 802-1083

Other providers in Nancy, KY

All providers in Nancy, KY · Addiction (Substance Use Disorder) Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.