Tara C Beckett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009619 Issued in IL

Practice address

1921 N Market St
Monticello, IL 61856-8144

Phone

(217) 762-5371

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piatt County Mental Health CenterGroup PAC ID 1254377724, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Piatt County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, IL
  • NPI 1508974197

  IL

  Medicare reassignment Care Compare group
• Champaign Counseling LLC

  • Clinical Social Worker
  • Savoy, IL
  • NPI 1770938359

  Clinical, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1952654584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S STONE CREEK BLVD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618029410",
            "telephone_number": "217-898-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568144",
            "telephone_number": "217-762-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "TARA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adams Enterprises of East Central Illinois PC
• Gay Lynne Adams, DC
• Julie Baldinger, DO
• Christy Barre, NP
• Raymond Carl Bement, MA, LCSW
• Elizabeth Benson, MS, RDN, LDN
• Shelli Jo Billingsley, LPC
• Jacob Blasingame, PA-C
• Dawn Brazzell, APRN, FNP-BC

• All providers in Monticello, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.