Active NPI
Kaitlyn Beckham
- Counselor
- Scottsdale, AZ
National Provider Identifier
1801402268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-21710
- Practice address
- 7530 E Angus Dr
Scottsdale, AZ 85251-6410 - Phone
- (480) 947-5739
- NPI assigned
- Sep 21, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-19077 | AZ | |
| Counselor | 101Y00000X | LPC-21710 | AZ | Primary |
Addresses
Primary practice location
7530 E Angus Dr
Scottsdale, AZ 85251-6410
Mailing address
7530 E Angus Dr
Scottsdale, AZ 85251-6410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-19077 | AZ | MD | Counselor |
| LPC-21710 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1801402268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 E ANGUS DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 E ANGUS DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516410",
"telephone_number": "480-947-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKHAM",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-19077",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-21710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.