Active NPI
Patricia Beck
- Mental Health Counselor
- Elkhart, IN
National Provider Identifier
1881424752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88000924A
- Practice address
- 59466 County Road 113
Elkhart, IN 46517-3644 - Phone
- (574) 830-5778
- Fax
- (574) 830-5157
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88000924A | IN | Primary |
Addresses
Primary practice location
59466 County Road 113
Elkhart, IN 46517-3644
Mailing address
1720 Berkey Ave
Goshen, IN 46526-1602
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 |
|---|---|---|---|
| 88000924A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1881424752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 BERKEY AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465261602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59466 COUNTY ROAD 113",
"city": "ELKHART",
"state": "IN",
"postal_code": "465173644",
"telephone_number": "574-830-5778",
"fax_number": "574-830-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "88000924A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.