Kimberly Ann Beck, M.ED., NCC
Individual provider Active NPI Professional Counselor · Longmont, CO
NPI 1821362674 · NPPES record last updated Feb 25, 2012
Key facts
- NPI
- 1821362674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12840 (CO)
- Practice address
- 1302 6TH Ave
Longmont, CO 80501-4201 - Phone
- (970) 222-8460
- NPI assigned
- Feb 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12840 | CO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12840 | CO | Yes |
Addresses
Primary practice location
1302 6TH Ave
Longmont, CO 80501-4201
Mailing address
1302 6TH Ave
Longmont, CO 80501-4201
NPI Registry JSON
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1821362674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 6TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 6TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014201",
"telephone_number": "970-222-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "M.ED., NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-25",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "12840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Longmont, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.