Active NPI
Christopher Beal
- Social Worker
- Shawnee, KS
National Provider Identifier
1821774720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13194
- Practice address
- 11120 W 65TH St
Shawnee, KS 66203 - Phone
- (913) 826-4200
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13194 | KS | Primary |
Addresses
Primary practice location
11120 W 65TH St
Shawnee, KS 66203
Mailing address
6000 Lamar Ave Ste 130
Mission, KS 66202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13194 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson County Mental Health Center | Past | Accepting new patients | |
| Johnson County Mental Health Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission, KS
- NPI 1174513444
-
- Community/Behavioral Health Agency
- Mission, KS
- NPI 1689324907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1821774720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 LAMAR AVE STE 130",
"city": "MISSION",
"state": "KS",
"postal_code": "66202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 W 65TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "66203",
"telephone_number": "913-826-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.