KENDRA BEACH (LPCC-S) – Mental Health Counselor, NPI 1366578601

KENDRA BEACH (LPCC-S) is a healthcare provider. based in Youngstown, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC-S. They hold a License No. C. 0500171 (OH). The NPI Number for KENDRA BEACH (LPCC-S) is 1366578601

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA BEACH (LPCC-S)
NPI
1366578601
Phone
(330) 759-0276
Address
2980 BELMONT AVE
Enumeration Date
23 February 2007
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307592310
Graduation Year
2005 (21 years ago)
PAC ID
1052449683
Group Practice PAC ID
9335136795
Professional Enrollment ID
I20240122000800
Address ID
OH445051834YO2980XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for KENDRA BEACH (LPCC-S)

  • 2980 BELMONT AVE

    YOUNGSTOWN, OH 445051834

    Phone: (330) 759-0276

    Fax: (330) 759-0030

    Type: Mailing

  • 378 N HIGH ST

    CORTLAND, OH 444101023

    Phone: (330) 637-8668

    Fax: (330) 637-1239

    Type: Location

  • 8577 E MARKET ST

    WARREN, OH 444842345

    Phone: (330) 856-6663

    Fax: (330) 856-1581

    Type: Mailing

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: 2024-01-22

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
I20240122000800IMental 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 44505)

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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: 9335136795View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for KENDRA BEACH (LPCC-S)?
KENDRA BEACH (LPCC-S) — NPI 1366578601 — is the standard way to identify this listing.
Does CMS list KENDRA BEACH (LPCC-S) as active?
Yes — KENDRA BEACH (LPCC-S) is active in the NPI listing used on this page.
What healthcare role does KENDRA BEACH (LPCC-S) hold?
Scheduling teams often label KENDRA BEACH (LPCC-S) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is KENDRA BEACH (LPCC-S) based?
KENDRA BEACH (LPCC-S) is tied to Youngstown, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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