Shirley Joyce Beckenhauer, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI 1982826673 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982826673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 168 (OK)
- Practice address
- 5208 Classen Cir
Oklahoma City, OK 73118-4429 - Phone
- (405) 810-1766
- Fax
- (405) 810-0331
- NPI assigned
- May 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 168 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168 | OK | Yes |
Addresses
Primary practice location
5208 Classen Cir
Oklahoma City, OK 73118-4429
Mailing address
301 W I 240 Service Rd
Oklahoma City, OK 73139-7701
Phone (405) 604-9644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168 | Other | OK | LICENSED ALCOHOL AND DRUG |
Other providers in Oklahoma City, OK
- Lisa Beck
- Madison Beck
- Michele Beck
- Samantha Beck
- Teighlor Beck
- Amber Nichol Becker
- Candace A Becker
- Carla J Becker
- David Andrew Becker
- Evy Becker
All providers in Oklahoma City, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.