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Deactivated NPI 1023368115 Deactivated / Inactive NPI Female Practitioner

Mary Eloise Beckerdite , LCSW, LPC, CCCE

Counselor • Aurora, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Beckerdite has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2012
NPI Deactivation Date January 18, 2023
Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

Mary Beckerdite, LCSW, LPC, CCCE was a registered Counselor practicing in Aurora, MO. Throughout an active medical career spanning 11 years, Mary Beckerdite provided care at the practice location at 1401 S ELLIOTT AVE until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

1401 S Elliott Ave

Aurora, MO 656052103

Telephone 4176719856
Fax 4176719881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Aurora, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Aurora, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 20055028616

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Sheila Gravett

Counselor - School

NPI 1093364390
Cynthia Abbott , MS

Counselor - Professional

NPI 1396185195

Master of Science

Staci Ackerman

Counselor - Professional

NPI 1417286006
Richard Freitas , MS, PLPC

Counselor - Professional

NPI 1427366574

Master of Science, PLPC

Jaden Link

Counselor - Professional

NPI 1467259085
NPI 1487977450

Mental Health Professional Practitioner, PLPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active September 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 15, 2012

Registered at 1401 S ELLIOTT AVE, AURORA, MO 656052103 (Tel: 4176719856)

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Updated Business Mailing Address September 15, 2012

Registered at 1401 S ELLIOTT AVE, PO BOX 1027, AURORA, MO 656052103 (Tel: 4176719856)

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Provider Name / Credentials Updated September 15, 2012

Recorded as MARY BECKERDITE, LCSW, LPC, CCCE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2012

Counselor (License #20055028616 in MO)

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Initial NPI Registration & Enumeration September 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023368115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2012
Last Update: September 15, 2012
Deactivation Date: January 18, 2023

Mailing Address

1401 S Elliott Ave, Po Box 1027

Aurora, MO 656052103

Phone: 4176719856

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.