Jenifer Beckner

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10926 S Tryon St Ste E
Charlotte, NC 28273

Phone

(855) 201-5498

NPI assigned

May 26, 2016

Reactivated

Dec 19, 2018

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Delta Behavioral Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1487904041
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1811345143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 S TRYON ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734154",
            "telephone_number": "855-201-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 S TRYON ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "855-201-5498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Fairway Dr",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411817",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Market St SW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280255007",
            "country_code": "US",
            "telephone_number": "855-201-5498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Market St SW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280255007",
            "country_code": "US",
            "telephone_number": "855-201-5498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "JENIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2019-06-17",
        "deactivation_date": "2017-10-03",
        "reactivation_date": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britni Beckham, LCMHC-A
• Passion De'Era Beckham I
• Athena Brooke Beckles, NP
• Kaitlin Poeth Beckman, MD
• Brianna Alison Beckmann, DDS
• Brent J Becnel, FNP
• Naquon Becton
• Rachael Beddingfield, PHARMD
• Sophia Beddoe, PHARMD
• Kailey Bedford, OT

• Behavior Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.