Active NPI
Kelly Beck, LMHC
- Mental Health Counselor
- Fort Walton Beach, FL
National Provider Identifier
1992519946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.