Provider Demographics
NPI:1770811531
Name:BECKUM, KAREN ELIZABETH (LMHC, LPC, CCMHC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:BECKUM
Suffix:
Gender:F
Credentials:LMHC, LPC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 FURNACE BROOK PKWY STE 404
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4785
Mailing Address - Country:US
Mailing Address - Phone:617-595-7044
Mailing Address - Fax:888-434-5097
Practice Address - Street 1:1266 FURNACE BROOK PKWY STE 404
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4785
Practice Address - Country:US
Practice Address - Phone:617-595-7044
Practice Address - Fax:888-434-5097
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003271101YP2500X
MA9173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional