Mr Kerry J Beck, LISW-SUPV | |
22251 State Route 2, Archbold, OH 43502-9452 | |
(419) 445-1552 | |
(419) 455-1401 |
Full Name | Mr Kerry J Beck |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 22251 State Route 2, Archbold, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922271212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | I.0700134-SUPV (Ohio) | Primary |
Entity Name | Shalom Ministries |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366573552 PECOS PAC ID: 7911376033 Enrollment ID: O20221213001281 |
Mailing Address | Practice Location Address |
---|---|
Mr Kerry J Beck, LISW-SUPV 703 Walnut St, Archbold, OH 43502-1019 Ph: (603) 359-8689 | Mr Kerry J Beck, LISW-SUPV 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552 |
Mrs. Beth A. Reichert, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: T793 State Route 66, Archbold, OH 43502 Phone: 419-267-5528 Fax: 419-267-5530 | |
Lorenzo Mendez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Mrs. Paula Lynn Rettig, LPC LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 22897 Us-20 Alt, Archbold, OH 43502 Phone: 419-445-1980 | |
Mrs. Donna Marie Wyse, LSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Marisa Wagner, IMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Taylor Comer, LISW Counselor Medicare: Medicare Enrolled Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 | |
Brittany Lyn Mcclarren, BA, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401 |