KELLY S BECK (NPI# 1386101624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386101624 |
| Entity Type | Individual |
| Full Name | KELLY S BECK |
| Practice Address |
722 E Independence St Ste I Shawnee OK 74804-4037 |
| Mailing Address |
6051 N Brookline Ave Ste 112 Oklahoma City OK 73112-4286 |
| Practice Telephone | 4058100054 |
| Practice Fax Number | 4058108977 |
| Mailing Telephone | 4058100054 |
| Mailing Fax Number | 4058108977 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407206428 | Kelly Beck | Licensed Practical Nurse | 3842 Mystic Meadows Ln, Williamson, NY 14589-9549 | 2016-06-21 |
| 1932427911 | Kelly Beck | Speech-Language Pathologist | 253 Portman Ln, Bridgeville, PA 15017-3427 | 2010-05-14 |
| 1528442043 | Kelly Marie Beck | Nurse Practitioner | 4343 All Seasons Dr Ste 220, Hilliard, OH 43026 | 2015-07-14 |
| 1700219862 | Kelly Beck | Nurse Practitioner | 226 S Woods Mill Rd, 43 West, Chesterfield, MO 63017-3662 | 2013-08-13 |
| 1760825046 | Kelly Beck | Speech-Language Pathologist | 3162 Johnson Ferry Rd, Suite 260 #325, Marietta, GA 30062-7604 | 2013-04-16 |
| 1750674362 | Kelly Anorah Beck | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2011-05-16 |
| 1043542293 | Kelly Ann Beck | Pharmacist | 81 Main St, Batavia, NY 14020-2149 | 2010-02-12 |
| 1548271562 | Kelly Werner Beck | Psychologist | 214 Centerview Dr, Ste 150, Brentwood, TN 37027 | 2006-08-11 |
| Street Address |
722 E INDEPENDENCE ST STE I |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398430 | Transitions Inc Shawnee | Clinic/Center | 722 E Independence St Ste I, Shawnee, OK 74804-4037 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024790 | Monica Pacheco | Counselor | 429 N Union Ave, Shawnee, OK 74801-7019 | 2019-07-09 |
| 1700326626 | Heidi Jeffcoat | Counselor | 4404 N Pottenger Ave, Shawnee, OK 74804-1269 | 2017-02-24 |
| 1386199081 | Mindee Todd | Counselor | 600 W Independence St Ste 900, Shawnee, OK 74804-4320 | 2016-08-23 |
| 1679956189 | Sarah Simonson | Counselor | 600 W Independence St, Suite 900, Shawnee, OK 74804-4320 | 2015-07-01 |
| 1972901460 | Greta Morgan | Counselor | 16851 W 67th Ter, Apt. 379, Shawnee, KS 66217-9694 | 2014-12-15 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1487064796 | Amanda Allen | Counselor | 43985 Hunters Hill Dr, Shawnee, OK 74801-8927 | 2014-05-08 |
| 1053734343 | Preston Leon Armstrong | Counselor | 37800 W. Macarthur St, Lot 22, Shawnee, OK 74804-9265 | 2014-01-23 |
| 1205178209 | Melissa Sue Upton-strong | Counselor | 3602 N Union Ave, Shawnee, OK 74804-2158 | 2013-03-18 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.