Organization Active NPI

Kelly Beck, LMHC

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1992519946
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELLY BECK, LMHC
Practice address
907 Mar Walt Dr Ste 2022S
Fort Walton Beach, FL 32547-6960
Phone
(850) 243-0095
Fax
(850) 374-3192
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Lynn Kelly Beck, MS, LMHC, CMHC, QS
Title
Owner/Director
Phone
(850) 243-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2022S
Fort Walton Beach, FL 32547-6960

Mailing address

907 Mar Walt Dr Ste 2022S
Fort Walton Beach, FL 32547-6960
Phone (850) 243-0095

National Provider Directory

National Provider Directory

Locations

907 Mar Walt Dr
Ste 2022S
Fort Walton Beach, FL 32547
Phone (850) 243-0095

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1992519946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022S",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022S",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-243-0095",
            "fax_number": "850-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BECK, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-243-0095",
        "authorized_official_credential": "MS, LMHC, CMHC, QS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.