Joseph George Beckett, LCPC, LSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Coeur D Alene, ID
NPI 1912005455 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1912005455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LCPC-3435 (ID)
- Practice address
- 7905 N Meadowlark Way
Suite C
Coeur D Alene, ID 83815-5041 - Phone
- (208) 762-3979
- Fax
- (208) 762-4419
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-3435 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCPC-3435 | ID | Yes |
Addresses
Primary practice location
7905 N Meadowlark Way
Suite C
Coeur D Alene, ID 83815-5041
Mailing address
7905 N Meadowlark Way
Suite C
Coeur D Alene, ID 83815-5041
Phone (208) 762-3979
Other providers in Coeur D Alene, ID
- Beatific Behavior Services, Inc
- Beatific Behavior Services, Inc
- Alexandra Maria Beattie
- Lacy Jane Bebout
- Brandi Beckedahl
- Trudi Michelle Beckett
- Caroline Miles Becnel
- Beehive Homes of North Idaho
- Beehive Therapy
- Julie Beerman
All providers in Coeur D Alene, ID · Addiction (Substance Use Disorder) Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.