Melissa L Beckford, MS
Individual provider Active NPI Professional Counselor · Beloit, WI
NPI 1972099505 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1972099505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3835-226 (WI)
- Practice address
- 136 W Grand Ave Ste 250
Beloit, WI 53511-6273 - Phone
- (608) 346-8315
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3835-226 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3835-226 | WI | Yes |
Addresses
Primary practice location
136 W Grand Ave Ste 250
Beloit, WI 53511-6273
Mailing address
3031 Langstone Dr
Rockford, IL 61109-1774
Phone (214) 434-9927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3835-226 | Medicaid | WI |
Other providers in Beloit, WI
- Pauline Louise Bauer
- Rebecca K Baumann
- Bay at Beloit Health and Rehabilitation Center LLC
- Kelsey Lee Beaumont
- Shanleigh Bechard
- Kari E. Bell
- Beloit Care LLC
- Beloit Chiropractic, LLC
- Beloit Clinic, S.C.
- Beloit Clinic, S.C.
All providers in Beloit, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. 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.