Individual provider Active NPI

Natasha M Beckum, LPC

  • Mental Health Counselor
  • Chesapeake, VA
National Provider Identifier
1922451186
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006706 Issued in VA
Practice address
1204 King Arthur Dr
Chesapeake, VA 23323-2824
Phone
(757) 490-0377
Fax
(757) 497-1327
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006706 VA Primary

Addresses

Primary practice location

1204 King Arthur Dr
Chesapeake, VA 23323-2824

Mailing address

1204 King Arthur Dr
Chesapeake, VA 23323-2824
Phone (757) 618-1378

Other names 1

  • Ms. Natasha M Beckum Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2024 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701006706VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Obsidian Counseling and Wellness Center, LLC CurrentSince Oct 27, 2019 Accepting new patients

Locations

6387 Center Dr
Ste 19
Norfolk, VA 23502
Phone (757) 453-3051

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1922451186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 KING ARTHUR DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232824",
            "telephone_number": "757-618-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 KING ARTHUR DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232824",
            "telephone_number": "757-490-0377",
            "fax_number": "757-497-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKUM",
        "first_name": "NATASHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "BECKUM",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.