EMILY S BECKER (PC, MFT) – Professional Counselor, NPI 1194063115

EMILY S BECKER (PC, MFT) is a healthcare provider. based in Bowling green, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PC, MFT. They hold a License No. C.1100334 (OH). The NPI Number for EMILY S BECKER (PC, MFT) is 1194063115

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
EMILY S BECKER (PC, MFT)
NPI
1194063115
Phone
(419) 352-4624
Address
1084 S MAIN ST
Enumeration Date
25 January 2013
Last Update Date
25 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193301349
Graduation Year
2012 (14 years ago)
PAC ID
4880030428
Group Practice PAC ID
5597910935
Professional Enrollment ID
I20240306001482
Address ID
OH435515267PE885XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for EMILY S BECKER (PC, MFT)

  • 1084 S MAIN ST

    SUITE A

    BOWLING GREEN, OH 434024740

    Phone: (419) 352-4624

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306001482IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597910935View full group profile
NameSpecialtyState
Physician AssistantOH
Clinical Social WorkerOH
P S Y C H I A T R YOH
Clinical Social WorkerOH
-OH
Nurse PractitionerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH

Reviews

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Frequently asked questions

Does EMILY S BECKER (PC, MFT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EMILY S BECKER (PC, MFT) uses 1194063115.
Can I rely on EMILY S BECKER (PC, MFT) being an active provider?
As of the registry snapshot, EMILY S BECKER (PC, MFT) is marked active.
What is EMILY S BECKER (PC, MFT) best known for clinically?
Directory data describes EMILY S BECKER (PC, MFT) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY S BECKER (PC, MFT)?
EMILY S BECKER (PC, MFT)'s geographic hint is Bowling Green, Ohio in our summary view.
Why does EMILY S BECKER (PC, MFT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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